Dixon, Jerome Anthony
Dixon, Jerome Anthony is an individual health care provider with primary practice located at 150 W Bear Track Rd , Campbellsville KY 42718-8709. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dixon, Jerome Anthony can be contacted via phone (270) 465-8133.Contact Information
Primary practice address
150 W Bear Track Rd
Campbellsville KY 42718-8709
Phone: (270) 465-8133
Fax: (270) 789-1543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 02320 | Kentucky |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 02320 | Kentucky |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 02320 | Kentucky |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 02320 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02320 | Kentucky |
Profile Details
| NPI number | 1215919451 |
|---|---|
| LBN Legal business name | Dixon, Jerome Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 14th, 2009 - about 15 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 | 1215919451 | NPPES |
| Kentucky | MEDICAID | 64023203 |
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