Michael Dickerson in San Jose - Student In An Organized Health Care Education/training Program
Michael Dickerson - NPI 1174782288
Michael Dickerson is a Student In An Organized Health Care Education/training Program in San Jose, California. Michael Dickerson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Michael Dickerson is 1174782288. The last update date is 2012-06-14.
Michael Dickerson's current location address is 2221 Enborg Ln, San Jose, California. You can contact this provider via phone number 4088856220. The mailing address for Michael Dickerson is 2221 Enborg Ln, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dickerson |
|---|---|
| Address | 2221 Enborg Ln, San Jose, California |
| Phone Number | 4088856220 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174782288 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | 2221 Enborg Ln |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282608 |
| Phone Number | 4088856220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Dickerson by the Centers for Medicare & Medicaid Services?
The Michael Dickerson has been assigned the NPI (National Provider Identifier) 1174782288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Michael Dickerson is physically located?
The Michael Dickerson is physically situated at the following address: 2221 Enborg Ln, San Jose, CA, 951282608.
What is the Michael Dickerson's specialty and taxonomy code?
The Michael Dickerson's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
When was the Michael Dickerson's 1174782288 issued?
The Michael Dickerson's 1174782288 was issued on 2008-06-03.
When was the information regarding Michael Dickerson most recently updated?
The details pertaining to the Michael Dickerson, including its address, specialty, and other relevant information, were last refreshed on 2012-06-14.