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Contact Information

JOHN T DICKERSON III, DC
128 OAK TREE BLVD
CHRISTIANSBURG, VA24073
 Phone: 540-380-5660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN T DICKERSON III · (Male)

NPI Number 1487726576
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/14/2006
Last updated 06/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 4980
  • KY Other 693259 ACN NUMBER
  • KY Other 7296724 AETNA NUMBER
  • KY Other 000000387294 ANTHEM NUMBER
  • KY Other 1226091 CHA NUMBER
  • OH Other 431461126 MEDICAL MUTUAL OF OHIO #
Hospital affiliation(s) Not Available
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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