Dixon, Patrice
Dixon, Patrice is an sole proprietor health care provider with primary practice located at 5151 Eagle Way , Crestview FL 32539-5805. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dixon, Patrice can be contacted via phone (850) 564-6968.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ISW9203 | Florida |
Profile Details
| NPI number | 1861898405 |
|---|---|
| LBN Legal business name | Dixon, Patrice |
| Credentials | MSW, RCSWI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Nov 10th, 2014 - about 10 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 | 1861898405 | NPPES |
| Florida | MEDICAID | 008355300 |
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