Dixon, Robert W

Dixon, Robert W is an individual health care provider with primary practice located at 1310 Wisconsin Ave Suite 200, Grand Haven MI 49417-2472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dixon, Robert W can be contacted via phone (616) 846-2640.

Contact Information

Primary practice address
1310 Wisconsin Ave Suite 200 Grand Haven MI 49417-2472
Fax: (616) 846-3110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RD035255 Michigan

Profile Details

NPI number 1710937339
LBN Legal business name Dixon, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 23rd, 2008 - about 16 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 1710937339 NPPES
Michigan MEDICAID 1363656
Michigan Other RD035255

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