Dixon, Mark Ernest

Dixon, Mark Ernest is an individual health care provider with primary practice located at 2000 N. Boise Ave. , Loveland CO 80538-7282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dixon, Mark Ernest can be contacted via phone (970) 635-4071.

Contact Information

Primary practice address
2000 N. Boise Ave. Loveland CO 80538-7282
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36591 Colorado

Profile Details

NPI number 1952384463
LBN Legal business name Dixon, Mark Ernest
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 30th, 2013 - about 11 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 1952384463 NPPES
Colorado MEDICAID 01365915

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