1528405644 NPI number — CATHERINE DICKINSON M.D.

Table of content: CATHERINE DICKINSON M.D. (NPI 1528405644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528405644 NPI number — CATHERINE DICKINSON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DICKINSON
Provider First Name:
CATHERINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528405644
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 808 BOX 3385
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09618-0034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-629-6777
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
U. S. NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
VIA CONTRADA BOSCARIELLO GRICIGNANO DI AVERSA
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
CAMPANIA
Provider Business Practice Location Address Postal Code:
81030
Provider Business Practice Location Address Country Code:
IT
Provider Business Practice Location Address Telephone Number:
607-237-4104
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  LP02839 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 297982 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)