Eric Raymond Dickmann, RN
Individual provider Active NPI Registered Nurse · Stratford, WI
NPI 1598079352 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1598079352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 129970-030 (WI)
- Practice address
- D1481 2ND St
Stratford, WI 54484-9245 - Phone
- (715) 897-0653
- NPI assigned
- Aug 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129970-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129970-030 | WI | Yes |
Addresses
Primary practice location
D1481 2ND St
Stratford, WI 54484-9245
Mailing address
D1481 2ND St
Stratford, WI 54484-9245
Phone (715) 897-0653
Other providers in Stratford, WI
- John R Brushert
- Brenda Kaye Castellano
- Marilyn R Dean
- Janice Lorraine Devine-Ruggles
- Corina Marie Dickmann
- Robin Lynn Dietel
- Timothy R Golemgeski
- Judy Ann Heil
- Meghan M Heil
- Taylor Joswiak
All providers in Stratford, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.