Thomas Alan Dickey

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cheney, WA

NPI 1962235853 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1962235853
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
200 Physical Education Building
Cheney, WA 99004-2476
Phone
(509) 359-2427
Fax
(509) 359-4833
NPI assigned
Aug 26, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

200 Physical Education Building
Cheney, WA 99004-2476

Mailing address

1403 S Assembly Rd Apt B212
Spokane, WA 99224-4843
Phone (385) 258-6522

Other providers in Cheney, WA

All providers in Cheney, WA · Student in an Organized Health Care Education/Training Program in Washington

Sources for this page

Verify at the official NPI Registry.