Moore, Dixie
Moore, Dixie is an sole proprietor health care provider with primary practice located at 1501 Fontaine Rd # A, Lexington KY 40502-1929. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Dixie can be contacted via phone (859) 263-2772.Contact Information
Primary practice address
1501 Fontaine Rd # A
Lexington KY 40502-1929
Phone: (859) 263-2772
Fax: (859) 263-2770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 488 | Kentucky |
Profile Details
| NPI number | 1063578177 |
|---|---|
| LBN Legal business name | Moore, Dixie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Dec 15th, 2016 - about 9 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 | 1063578177 | NPPES |
| Kentucky | MEDICAID | 89004881 |
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