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Contact Information

IAN E DICK, PA-C
9404A MAIN ST
FAIRFAX, VA22031-4032
 Phone: 571-404-6974
 Fax: 571-604-6975
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for IAN E DICK · (Male)

NPI # 1003042268
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/02/2009
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110004431
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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