Dixon, John R
Dixon, John R is an individual health care provider with primary practice located at 3060 Woodbury Dr Suite A, Woodbury MN 55129-9617. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dixon, John R can be contacted via phone (651) 731-5124.Contact Information
Primary practice address
3060 Woodbury Dr Suite A
Woodbury MN 55129-9617
Phone: (651) 731-5124
Fax: (651) 731-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2274 | Minnesota |
Profile Details
| NPI number | 1588605265 |
|---|---|
| LBN Legal business name | Dixon, John R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jan 27th, 2010 - about 14 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 | 1588605265 | NPPES |
| Minnesota | MEDICAID | 178827200 | |
| Minnesota | Other | 03N80DI |
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