Provider Demographics
NPI:1598849184
Name:FICEK, DION S (DC)
Entity type:Individual
Prefix:DR
First Name:DION
Middle Name:S
Last Name:FICEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 1/2 12TH ST. W
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-3509
Mailing Address - Country:US
Mailing Address - Phone:701-483-8824
Mailing Address - Fax:701-483-1443
Practice Address - Street 1:562 1/2 12TH ST. W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-3509
Practice Address - Country:US
Practice Address - Phone:701-483-8824
Practice Address - Fax:701-483-1443
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND638111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND14226Medicaid
NDDE8692OtherRAILROAD MEDICARE NE
NDDG2247OtherRAILROAD MEDICARE DIX OFF
ND14226Medicaid
NDN71049Medicare PIN