Dixon, Dewey G
Dixon, Dewey G is an individual health care provider with primary practice located at 426 S Blanche St , Mounds IL 62964-1108. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dixon, Dewey G can be contacted via phone (618) 745-6894.Contact Information
Primary practice address
426 S Blanche St
Mounds IL 62964-1108
Phone: (618) 745-6894
Fax: (618) 745-6113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 38-005019 | Illinois |
Profile Details
| NPI number | 1215901236 |
|---|---|
| LBN Legal business name | Dixon, Dewey G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Dec 19th, 2014 - about 10 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 | 1215901236 | NPPES |
| Illinois | Other | 7782002 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 131779 | BLUE CROSS BLUE SHIELD |
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