Dixon, Paul T

Dixon, Paul T is an individual health care provider with primary practice located at 4205 Chestnut Trl , Cohutta GA 30710-9375. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Dixon, Paul T can be contacted via phone (859) 609-7153.

Contact Information

Primary practice address
4205 Chestnut Trl Cohutta GA 30710-9375
Phone: (859) 609-7153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO03648

Profile Details

NPI number 1710270947
LBN Legal business name Dixon, Paul T
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Jun 21st, 2012 - 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 1710270947 NPPES
Tennessee MEDICAID 1518526

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