Dixon, Mark

Dixon, Mark is an individual health care provider with primary practice located at 85 E Us Highway 6 Ste 300 , Valparaiso IN 46383-8948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Dixon, Mark can be contacted via phone (219) 983-6300.

Contact Information

Primary practice address
85 E Us Highway 6 Ste 300 Valparaiso IN 46383-8948
Phone: (219) 983-6300
Fax: (219) 983-6080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 02001376 Indiana

Profile Details

NPI number 1912980236
LBN Legal business name Dixon, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Sep 10th, 2020 - about 4 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 1912980236 NPPES
Indiana MEDICAID 100327820
Indiana Other P00386127
Indiana Other 000000497635
Indiana Other 90000561

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