John Quenith Dickey in Waterford - Cardiovascular Disease

John Quenith Dickey - NPI 1588657076

John Quenith Dickey is a Cardiovascular Disease in Waterford, Michigan. John Quenith Dickey practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John Quenith Dickey is 1588657076. The last update date is 2020-03-05.

John Quenith Dickey's current location address is 5210 Highland Rd Ste 200, Waterford, Michigan. You can contact this provider via phone number 2486259099 and fax number 2486254632. The mailing address for John Quenith Dickey is 5210 Highland Rd Ste 200, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John Quenith Dickey
Address 5210 Highland Rd Ste 200, Waterford, Michigan
Phone Number 2486259099
Fax Number 2486254632
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1588657076
Provider Enumeration Date 2005-08-30
Last Updated Date 2020-03-05

Provider Mailing Address Detail

Address 5210 Highland Rd Ste 200
City Waterford
State Michigan (MI)
Post Code 483271970
Phone Number 2486259099
Fax Number 2486254632

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No JD009226
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0F31072 MI BCBSM COMMON PROVIDER ID
F00492 MI HEALTH ALLIANCE PLAN
101601 MI CARE CHOICES
C4251 MI M-CARE
310F337240 MI BCBSM CMG
5630343 MI BCBSM

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FAQs about John Quenith Dickey

What is the unique 10-digit identifier code assigned to John Quenith Dickey by the Centers for Medicare & Medicaid Services?

The John Quenith Dickey has been issued the NPI (National Provider Identifier) 1588657076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the John Quenith Dickey's physical address?

The John Quenith Dickey is physically located at 5210 Highland Rd Ste 200, in the city of Waterford, MI, with the postal code 483271970.

What is John Quenith Dickey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Quenith Dickey is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

When did John Quenith Dickey receive its 1588657076 assignment?

The John Quenith Dickey was assigned its 1588657076 on 2005-08-30, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding John Quenith Dickey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Quenith Dickey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-05.

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