Dixon, Simon Richard

Dixon, Simon Richard is an individual health care provider with primary practice located at 3601 W 13 Mile Rd 3Rd Floor Heart Center, Royal Oak MI 48073-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dixon, Simon Richard can be contacted via phone (248) 898-4163.

Contact Information

Primary practice address
3601 W 13 Mile Rd 3Rd Floor Heart Center Royal Oak MI 48073-6712
Phone: (248) 898-4163
Fax: (248) 898-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301075071 Michigan

Profile Details

NPI number 1154423747
LBN Legal business name Dixon, Simon Richard
Credentials MBCHB
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 21st, 2020 - about 4 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 1154423747 NPPES
Michigan MEDICAID 4446064

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