BENJAMIN C. DICKERT NPI 1871048462

NPI Information

NPI: 1871048462
Provider Name: BENJAMIN C. DICKERT
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
780 CHESTNUT ST
SUITE 8
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 736-3225
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BENJAMIN C. DICKERT is a primary podiatric medicine podiatrist in Springfield, MA. BENJAMIN C. DICKERT NPI is 1871048462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

780 CHESTNUT ST
SUITE 8
SPRINGFIELD, MA
ZIP 01107-637
Phone: (413) 736-3225
Fax: (413) 736-3382

The provider's authorized official is Benjamin Charles Dickert .
The authorized official title is Owner and has the following contact phone number (413) 736-3225.

The enumeration date for this NPI number is 8/24/2016 and was last updated on 8/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	1884	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y78037	MEDICARE PIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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