Dixon, Peter Stanton

Dixon, Peter Stanton is an sole proprietor health care provider with primary practice located at 192 Westbrook Rd , Essex CT 06426-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dixon, Peter Stanton can be contacted via phone (860) 767-1200.

Contact Information

Primary practice address
192 Westbrook Rd Essex CT 06426-1511
Phone: (860) 767-1200
Fax: (860) 767-3031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33140 Connecticut

Profile Details

NPI number 1578750808
LBN Legal business name Dixon, Peter Stanton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2007
Last updated May 7th, 2024 - 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 1578750808 NPPES
Other 0V1563 OXFORD
Other 050463 OXFORD
Other 001292448001 OXFORD
MEDICAID 001331404 OXFORD
Other 010033140CT03 OXFORD
Other 0614533610001 OXFORD
Other 1417970708 OXFORD
Other 4407476 OXFORD

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