Dixon, Jared A

Dixon, Jared A is an individual health care provider with primary practice located at 1304 Military Rd , Benton AR 72015-2911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dixon, Jared A can be contacted via phone (501) 778-0934.

Contact Information

Primary practice address
1304 Military Rd Benton AR 72015-2911
Phone: (501) 778-0934
Fax: (501) 778-1013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E7567 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E7567 Arkansas

Profile Details

NPI number 1780833707
LBN Legal business name Dixon, Jared A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Feb 13th, 2020 - about 5 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 1780833707 NPPES
Arkansas MEDICAID 194201001

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