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Contact Information

DAVID A DICKINSON, DPM
900 N WASHINGTON ST
DU QUOIN, IL62832-1233
 Phone: 618-542-2146
 Fax: 618-542-2154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID A DICKINSON · (Male)

NPI # 1346372687
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/12/2007
Last updated 01/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016005359
  • IL Other 016005359 STATE LICENSE
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MARSHALL BROWNING HOSPITAL - (Critical Access)
    900 NORTH WASHINGTON STREET
    DU QUOIN, IL 62832
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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