Dixon, Brian Scott

Dixon, Brian Scott is an individual health care provider with primary practice located at 90 Berkshire Ave , Springfield MA 01109-1709. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dixon, Brian Scott can be contacted via phone (413) 739-7968.

Contact Information

Primary practice address
90 Berkshire Ave Springfield MA 01109-1709
Fax: (413) 788-0194
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1038 Massachusetts

Profile Details

NPI number 1043296726
LBN Legal business name Dixon, Brian Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 24th, 2017 - 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 1043296726 NPPES
Massachusetts Other 0554418 AETNA
Massachusetts Other 705823 AETNA
Massachusetts MEDICAID 1604252 AETNA
Massachusetts Other 5823070002 AETNA
Massachusetts Other 050001038 AETNA

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