Pederson, Dixie J
Pederson, Dixie J is an sole proprietor health care provider with primary practice located at 2 N 19Th St , Lafayette IN 47904-2950. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Pederson, Dixie J can be contacted via phone (765) 491-0002.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | HSPP20010440 | Indiana |
Profile Details
| NPI number | 1942491600 |
|---|---|
| LBN Legal business name | Pederson, Dixie J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Aug 7th, 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 | 1942491600 | NPPES |
| Indiana | Other | HSPP20010440 | STATE BOARD OF EXAMINERS |
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