Walter Dale Dickson in Ellwood City - Podiatrist
Walter Dale Dickson - NPI 1003885120
Walter Dale Dickson is a Podiatrist in Ellwood City, Pennsylvania. Walter Dale Dickson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Walter Dale Dickson is 1003885120. The last update date is 2008-05-22.
Walter Dale Dickson's current location address is 310 State Route 288, Ellwood City, Pennsylvania. You can contact this provider via phone number 7247585564 and fax number 7247586251. The mailing address for Walter Dale Dickson is 310 State Route 288, Ellwood City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Walter Dale Dickson |
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Address | 310 State Route 288, Ellwood City, Pennsylvania |
Phone Number | 7247585564 |
Fax Number | 7247586251 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1003885120 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
Address | 310 State Route 288 |
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City | Ellwood City |
State | Pennsylvania (PA) |
Post Code | 16117 |
Phone Number | 7247585564 |
Fax Number | 7247586251 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | SC001379L |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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P00472622 | PA | PALMETTO GBA - RAILROAD MEDICA |
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What is the unique identification code assigned to Walter Dale Dickson by the Centers for Medicare & Medicaid Services?
The Walter Dale Dickson has been issued the NPI (National Provider Identifier) 1003885120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Walter Dale Dickson located?
The Walter Dale Dickson is located at 310 State Route 288, Ellwood City, PA 16117.
What is Walter Dale Dickson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walter Dale Dickson is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Walter Dale Dickson receive its 1003885120 assignment from the Centers for Medicare & Medicaid Services?
The Walter Dale Dickson was assigned its 1003885120 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date was the information regarding Walter Dale Dickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walter Dale Dickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-22.