Dixon, Michael Jerome

Dixon, Michael Jerome is an individual health care provider with primary practice located at 2550 E Broadway St , Helena MT 59601-4905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dixon, Michael Jerome can be contacted via phone (406) 457-4180.

Contact Information

Primary practice address
2550 E Broadway St Helena MT 59601-4905
Phone: (406) 457-4180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 8300 Montana

Profile Details

NPI number 1508967126
LBN Legal business name Dixon, Michael Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 27th, 2018 - about 7 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 1508967126 NPPES
Montana Other 97745 BCBS OF MT
Montana MEDICAID 0141915 BCBS OF MT

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