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Contact Information

JAN V DICKEY, MD
39500 LIBERTY ST
FREMONT, CA94538
 Phone: 510-252-5887
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAN V DICKEY · (Male)

NPI Number 1134153752
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G49405
Hospital affiliation(s)
  • STANFORD HOSPITAL - (Acute Care)
    300 PASTEUR DRIVE
    STANFORD, CA 94305
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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