Wilson, Dixie Hudson

Wilson, Dixie Hudson is an individual health care provider with primary practice located at 1623 13Th Ave , Huntington WV 25701-3845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilson, Dixie Hudson can be contacted via phone (304) 526-2243.

Contact Information

Primary practice address
1623 13Th Ave Huntington WV 25701-3845
Phone: (304) 526-2243
Fax: (304) 522-9116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 20581 West Virginia

Profile Details

NPI number 1730186214
LBN Legal business name Wilson, Dixie Hudson
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 20th, 2012 - about 13 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 1730186214 NPPES
Kansas MEDICAID 74205550
Kansas MEDICAID 0773837
Kansas MEDICAID 0067964000

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