Search › Ohio › 253Z00000X
Daniel Dickerson
NPI 1760097968 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4283 S Sodom Ballou Rd
Casstown, OH 45312 - Phone
- (937) 418-1397
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 253Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio