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Contact Information

STEPHEN L DICKSON JR, MD
600 SW COLLEGE AVE
TOPEKA, KS66606-1684
 Phone: 785-233-9643
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEPHEN L DICKSON JR · (Male)

NPI # 1720086242
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2005
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01058168A
  • KS License # 04-49632
  • KY License # 43991
  • MI License # 4301114501
  • IN Medicaid 200455130
  • IN Medicaid 200455130A
  • KY Medicaid 64076821
  • KY Other 000000701004 ANTHEM- CTS
  • KY Other 4001605 CIGNA- CTS
  • KY Other 000057094V HUMANA- CTS
  • KY Other 50031859 PASSPORT- CTS
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    400 MEDICAL PARK DR
    WATERVLIET, MI 49098
  • LAKELAND HOSPITAL ST JOSEPH - (Acute Care)
    1234 NAPIER AVENUE
    ST JOSEPH, MI 49085
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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