Jennifer Irene Dickinson in Charlotte - Specialist

Jennifer Irene Dickinson - NPI 1134165202

Jennifer Irene Dickinson is a Specialist in Charlotte, North Carolina. Jennifer Irene Dickinson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jennifer Irene Dickinson is 1134165202. The last update date is 2011-08-30.

Jennifer Irene Dickinson's current location address is 4601 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043232248 and fax number 7049457671. The mailing address for Jennifer Irene Dickinson is 4601 Park Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Irene Dickinson
Address 4601 Park Rd, Charlotte, North Carolina
Phone Number 7043232248
Fax Number 7049457671
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1134165202
Provider Enumeration Date 2006-06-20
Last Updated Date 2011-08-30

Provider Mailing Address Detail

Address 4601 Park Rd
City Charlotte
State North Carolina (NC)
Post Code 282093239
Phone Number 7043232248
Fax Number 7049457671

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT2782
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
249760099 ME --
48150 ME ANTHEM BC/BS ID NUMBER

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FAQs about Jennifer Irene Dickinson

What is the unique 10-digit identifier code assigned to Jennifer Irene Dickinson by the Centers for Medicare & Medicaid Services?

The Jennifer Irene Dickinson has been issued the NPI (National Provider Identifier) 1134165202 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jennifer Irene Dickinson?

The Jennifer Irene Dickinson is physically situated at 4601 Park Rd, in the city of Charlotte, state of NC, with the postal code 282093239.

What is the Jennifer Irene Dickinson's area of specialization and corresponding taxonomy classification?

The Jennifer Irene Dickinson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1134165202 to Jennifer Irene Dickinson?

The Centers for Medicare & Medicaid Services assigned the 1134165202 to Jennifer Irene Dickinson on 2006-06-20.

When was the information related to Jennifer Irene Dickinson most recently updated or refreshed?

The details pertaining to the Jennifer Irene Dickinson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-30.

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