Dixon, Michael S

Dixon, Michael S is an sole proprietor health care provider with primary practice located at 126 Everett Rd , Auburn ME 04210-8545. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dixon, Michael S can be contacted via phone (207) 783-3052.

Contact Information

Primary practice address
126 Everett Rd Auburn ME 04210-8545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS364 Maine

Profile Details

NPI number 1932161023
LBN Legal business name Dixon, Michael S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jul 3rd, 2013 - about 13 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 1932161023 NPPES
Maine MEDICAID 226970000
Maine Other 003482

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