Jerome Ivan Dickman in Bell Canyon - Otolaryngology

Jerome Ivan Dickman - NPI 1174581227

Jerome Ivan Dickman is a Otolaryngology in Bell Canyon, California. Jerome Ivan Dickman practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jerome Ivan Dickman is 1174581227. The last update date is 2016-10-31.

Jerome Ivan Dickman's current location address is 33 Saddlebow Rd, Bell Canyon, California. You can contact this provider via phone number 8188845121 and fax number 8189990275. The mailing address for Jerome Ivan Dickman is 33 Saddlebow Rd, Bell Canyon, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome Ivan Dickman
Address 33 Saddlebow Rd, Bell Canyon, California
Phone Number 8188845121
Fax Number 8189990275
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1174581227
Provider Enumeration Date 2006-05-01
Last Updated Date 2016-10-31

Provider Mailing Address Detail

Address 33 Saddlebow Rd
City Bell Canyon
State California (CA)
Post Code 913071137
Phone Number 8188845121
Fax Number 8189990275

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No A21070
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A210700 CA --

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FAQs about Jerome Ivan Dickman

What is the unique 10-digit identification code issued to Jerome Ivan Dickman by the Centers for Medicare & Medicaid Services?

The Jerome Ivan Dickman has been assigned the NPI (National Provider Identifier) 1174581227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Jerome Ivan Dickman?

The Jerome Ivan Dickman is situated at 33 Saddlebow Rd, in the city of Bell Canyon, state of CA, with the zip code 913071137.

What is the Jerome Ivan Dickman's area of specialization and corresponding taxonomy classification?

The Jerome Ivan Dickman's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.

When was the Jerome Ivan Dickman's 1174581227 issued?

The Jerome Ivan Dickman's 1174581227 was issued on 2006-05-01.

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

The information related to Jerome Ivan Dickman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-10-31.

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