Active NPIIndividual provider

Michael D Dick, DO

Family Medicine in Pawtucket, Rhode Island

NPI Number1912345430
Practice location
111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474
Fax
401-729-3495
Last updated
June 6, 2013

Michael David Dick is a Family Medicine based in Pawtucket, RI. Michael David Dick practices in Pawtucket, RI and has the professional credentials of DO. The NPI Number for Michael David Dick is 1912345430 and holds a License No. LP02881 (RI). The current practice location address for Michael David Dick is 111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474 and can be reached out via phone at 401-729-2206 and via fax at 401-729-3495.

Provider Profile Details

NPI Number
1912345430
Provider Name
Michael David Dick
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2013
Last Update Date
June 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Fcc Team B
Pawtucket, RI 02860-4474
Zip
02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
111 Brewster St
Fcc Team B
Pawtucket, RI 02860-4474
City
Pawtucket
State
RI
Zip
02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495

License Information

License Number
LP02881
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael D Dick, DO?

The NPI number of Michael D Dick, DO is 1912345430. It was assigned on June 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Michael D Dick, DO?

Michael D Dick, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP02881.

Where does Michael D Dick, DO practice?

The practice location is 111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474. The office can be reached at 401-729-2206 (phone) or 401-729-3495 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912345430 directly on the NPPES registry website.

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