Dixon, Michael B
Dixon, Michael B is an sole proprietor health care provider with primary practice located at 1011 Bowles Ave Ste G10 , Fenton MO 63026-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dixon, Michael B can be contacted via phone (314) 842-7901.Contact Information
Primary practice address
1011 Bowles Ave Ste G10
Fenton MO 63026-2387
Phone: (314) 842-7901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R4C21 | Missouri |
Profile Details
| NPI number | 1780786897 |
|---|---|
| LBN Legal business name | Dixon, Michael B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | May 4th, 2022 - about 3 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 | 1780786897 | NPPES |
| Missouri | MEDICAID | 202681417 |
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