Imada, Dixie
Imada, Dixie is an individual health care provider with primary practice located at 4748 Engle Rd Ste 103, Carmichael CA 95608-2232. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Imada, Dixie can be contacted via phone (916) 752-9996.Contact Information
Primary practice address
4748 Engle Rd Ste 103
Carmichael CA 95608-2232
Phone: (916) 752-9996
Fax: (916) 486-0188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU643 | California |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | HA4075 | California |
Profile Details
NPI number | 1306840186 |
---|---|
LBN Legal business name | Imada, Dixie |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Jul 9th, 2007 - about 17 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 | 1306840186 | NPPES |
California | MEDICAID | AU0006430 |
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