Mwose, Dixon

Mwose, Dixon is an individual health care provider with primary practice located at 2610 E Jefferson Blvd , South Bend IN 46615-2724. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Mwose, Dixon can be contacted via phone (574) 276-5026.

Contact Information

Primary practice address
2610 E Jefferson Blvd South Bend IN 46615-2724
Phone: (574) 276-5026
Fax: (574) 251-0869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 201371060-A Indiana
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 201371060-A Indiana

Profile Details

NPI number 1598474652
LBN Legal business name Mwose, Dixon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2022
Last updated Nov 30th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598474652 NPPES
Indiana MEDICAID 47-3518606
Indiana MEDICAID 201371060A

Popular Providers