Dixon, Michael John

Dixon, Michael John is an individual health care provider with primary practice located at 920 Church St N , Concord NC 28025-2927. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dixon, Michael John can be contacted via phone (704) 783-4235.

Contact Information

Primary practice address
920 Church St N Concord NC 28025-2927
Phone: (704) 783-4235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 188870 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 715 North Carolina

Profile Details

NPI number 1346260577
LBN Legal business name Dixon, Michael John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 14th, 2023 - about last year

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 1346260577 NPPES
North Carolina MEDICAID 8052042
North Carolina MEDICAID NAN724

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