Dixon, Mary Heather

Dixon, Mary Heather is an sole proprietor health care provider with primary practice located at 1107 Cherokee Rd , Alexander City AL 35010-3919. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dixon, Mary Heather can be contacted via phone (256) 279-5869.

Contact Information

Primary practice address
1107 Cherokee Rd Alexander City AL 35010-3919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3256 Alabama

Profile Details

NPI number 1902221054
LBN Legal business name Dixon, Mary Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2014
Last updated Jan 6th, 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 1902221054 NPPES
Alabama MEDICAID 229248

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