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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932215464 NPPES
Mississippi MEDICAID 00113498

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