Dixon, David Rodolph
Dixon, David Rodolph is an sole proprietor health care provider with primary practice located at 910 Worth St , Mt Airy NC 27030-4458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dixon, David Rodolph can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
910 Worth St
Mt Airy NC 27030-4458
Phone: (336) 716-2255
Fax: (336) 783-6842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2002-00109 | North Carolina |
Profile Details
| NPI number | 1801889175 |
|---|---|
| LBN Legal business name | Dixon, David Rodolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Oct 8th, 2010 - about 16 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 | 1801889175 | NPPES |
| North Carolina | MEDICAID | 891344T |
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