DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFF S. DICKERSON

Active Sole Proprietor

JEFF S. DICKERSON is a Contractor healthcare provider located in RICHVILLE, Minnesota. NPI 1770897662 is currently active in the NPPES registry. Verify at CMS.

Contractor · RICHVILLE, MN

Registration Details

NPI Number
1770897662
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2010 (16.029640795659 yrs)
Last Updated
Aug 3, 2010
Sole Proprietor
Yes

Practice Information

Address
815 W 1ST ST
RICHVILLE, MN, 565767609
Browse MN providers · Browse ZIP 56576
Phone
2183466309
Primary Specialty
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.