Dixon, Kim C

Dixon, Kim C is an individual health care provider with primary practice located at 123 How Ln , New Brunswick NJ 08901-3653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dixon, Kim C can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
123 How Ln New Brunswick NJ 08901-3653
Fax: (732) 729-0869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA07134200 New Jersey

Profile Details

NPI number 1144262130
LBN Legal business name Dixon, Kim C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 17th, 2011 - 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 1144262130 NPPES
New Jersey Other P00087647 RAILROAD MEDICARE
New Jersey MEDICAID 0022471 RAILROAD MEDICARE

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