David Dickson
Individual provider Active NPI Personal Care Attendant · New Haven, MI
NPI 1720138043 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720138043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 31950 Clark St
Apt 1
New Haven, MI 48048-1934 - Phone
- (810) 388-1200
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
31950 Clark St
Apt 1
New Haven, MI 48048-1934
Mailing address
35150 Potter St.
Memphis, MI 48041
Phone (810) 388-1200
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All providers in New Haven, MI · Personal Care Attendant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.