Dix, Gail A
Dix, Gail A is an individual health care provider with primary practice located at 1707 Main St , La Crosse WI 54601-4200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dix, Gail A can be contacted via phone (608) 785-0001.Contact Information
Primary practice address
1707 Main St
La Crosse WI 54601-4200
Phone: (608) 785-0001
Fax: (608) 785-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2592-123 | Wisconsin |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 18-124 | Wisconsin |
Profile Details
| NPI number | 1811056906 |
|---|---|
| LBN Legal business name | Dix, Gail A |
| Credentials | MS, LCSW, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Aug 30th, 2011 - about 14 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 | 1811056906 | NPPES |
| Minnesota | MEDICAID | 165221400 | |
| Minnesota | Other | 13G80DI | |
| Minnesota | MEDICAID | 39243200 | |
| Minnesota | Other | HP66197 |
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