Jeff S. Dickerson

Contractor · Richville, MN

Individual Active NPI

NPI number 1770897662

Practice location

815 W 1st St
Richville, MN 56576-7609
Phone
(218) 346-6309

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NPI record

NPI
1770897662
Entity type
Individual (Type 1)
Enumeration date
August 3, 2010
Last updated
August 3, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Jeff Dickerson

Jeff S. Dickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 815 W 1st St, Richville, MN 56576-7609. The NPI number 1770897662 was assigned on August 3, 2010 and the record was last updated on August 3, 2010.

Frequently asked questions

What is the NPI number of Jeff S. Dickerson?

The NPI number is 1770897662.

What is the phone number of Jeff Dickerson?

The phone number listed for the practice location is (218) 346-6309.

Where is Jeff Dickerson located?

815 W 1st St, Richville, MN 56576-7609.

What is the taxonomy code for Jeff Dickerson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.