Dixon, Mandi M
Dixon, Mandi M is an sole proprietor health care provider with primary practice located at 5312 Heidi Ln , Brewerton NY 13029-9787. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Dixon, Mandi M can be contacted via phone (315) 668-0323.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 535402 | New York |
Profile Details
| NPI number | 1730360819 |
|---|---|
| LBN Legal business name | Dixon, Mandi M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2007 |
| Last updated | Nov 17th, 2007 - about 18 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 | 1730360819 | NPPES |
| New York | MEDICAID | 02709355 |
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