Roderick Jerome Dickerson in Baton Rouge - Driver
Roderick Jerome Dickerson - NPI 1447415229
Roderick Jerome Dickerson is a Driver in Baton Rouge, Louisiana. Roderick Jerome Dickerson practices all healthcare services and medical treatments related to Driver. The NPI Number for Roderick Jerome Dickerson is 1447415229. The last update date is 2008-07-22.
Roderick Jerome Dickerson's current location address is 4033 Sycamore St, Baton Rouge, Louisiana. You can contact this provider via phone number 2253575236. The mailing address for Roderick Jerome Dickerson is 4033 Sycamore St, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Jerome Dickerson |
|---|---|
| Address | 4033 Sycamore St, Baton Rouge, Louisiana |
| Phone Number | 2253575236 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447415229 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 4033 Sycamore St |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708052952 |
| Phone Number | 2253575236 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Driver |
|---|---|
| Taxonomy | 172A00000X |
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Definition: A person employed to operate a motor vehicle as a carrier of persons or property. |
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What is the unique 10-digit identification code assigned to Roderick Jerome Dickerson by the Centers for Medicare & Medicaid Services?
The Roderick Jerome Dickerson has been issued the NPI (National Provider Identifier) 1447415229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roderick Jerome Dickerson located?
The Roderick Jerome Dickerson is located at 4033 Sycamore St, Baton Rouge, LA 708052952.
What is Roderick Jerome Dickerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roderick Jerome Dickerson's specialized field of practice is Driver, and the corresponding taxonomy code that categorizes this area of specialization is 172A00000X.
On what date did the Roderick Jerome Dickerson receive its 1447415229 assignment from the Centers for Medicare & Medicaid Services?
The Roderick Jerome Dickerson was assigned its 1447415229 by the Centers for Medicare & Medicaid Services on 2008-07-22.
As of what date was the information regarding Roderick Jerome Dickerson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roderick Jerome Dickerson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-22.
NPI Number: 1285697151
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