Nixon, James E

Nixon, James E is an individual health care provider with primary practice located at 2004 1St Ave Ste A, Dodge City KS 67801-2623. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nixon, James E can be contacted via phone (620) 225-1033.

Contact Information

Primary practice address
2004 1St Ave Ste A Dodge City KS 67801-2623
Phone: (620) 225-1033
Fax: (620) 227-8491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0418445 Kansas

Profile Details

NPI number 1063465011
LBN Legal business name Nixon, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063465011 NPPES
Kansas Other KA1172002 MEDICARE
Kansas MEDICAID 14956861 MEDICARE
Kansas Other KA1173002 MEDICARE
Kansas MEDICAID 100148400B MEDICARE

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