Individual
DR. JOSEPH CHARLES DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 284-7295
(765) 284-7472
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001071163
ANTHEM
IN
05
—
200384110
—
IN
Enumeration date
06/14/2005
Last updated
12/30/2020
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