Dixon, Druery J

Dixon, Druery J is an sole proprietor health care provider with primary practice located at 181 N Kentucky Ave Suite 100, West Plains MO 65775-2089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dixon, Druery J can be contacted via phone (417) 257-5911.

Contact Information

Primary practice address
181 N Kentucky Ave Suite 100 West Plains MO 65775-2089
Phone: (417) 257-5911
Fax: (417) 257-5913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4127 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R8G07 Missouri

Profile Details

NPI number 1205948247
LBN Legal business name Dixon, Druery J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 11th, 2012 - about 13 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 1205948247 NPPES
Missouri Other 16390 BCBS PROVIDER NUMBER
Missouri MEDICAID 202386926 BCBS PROVIDER NUMBER
Missouri Other 121380001 BCBS PROVIDER NUMBER

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