Dix, Brian R
Dix, Brian R is an sole proprietor health care provider with primary practice located at 15190 Community Rd Suite 230A, Gulfport MS 39503-3485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Dix, Brian R can be contacted via phone (228) 831-0204.Contact Information
Primary practice address
15190 Community Rd Suite 230A
Gulfport MS 39503-3485
Phone: (228) 831-0204
Fax: (228) 831-1868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 13810 | Mississippi |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 02001248A | Indiana |
Profile Details
| NPI number | 1932215464 |
|---|---|
| LBN Legal business name | Dix, Brian R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Nov 9th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932215464 | NPPES |
| Mississippi | MEDICAID | 00113498 |
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