Dixon, Jackie

Dixon, Jackie is an sole proprietor health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Dixon, Jackie can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Fax:
Website:

Health care specialties

Profile Details

NPI number 1972963544
LBN Legal business name Dixon, Jackie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2016
Last updated Feb 25th, 2016 - about 9 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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