Story, Dixie

Story, Dixie is an sole proprietor health care provider with primary practice located at 6103 Judson Ave , Las Vegas NV 89156-5821. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Story, Dixie can be contacted via phone (702) 453-3299.

Contact Information

Primary practice address
6103 Judson Ave Las Vegas NV 89156-5821
Fax: (702) 452-0384
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X 602 Nevada

Profile Details

NPI number 1265642359
LBN Legal business name Story, Dixie
Credentials Certified Midwife (CM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1265642359 NPPES
Nevada Other 667411 PREFERRED PROVIDER ID #

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