Dixon, Earl R
Dixon, Earl R is an individual health care provider with primary practice located at 2 Columbia Dr , Tampa FL 33606-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Dixon, Earl R can be contacted via phone (813) 844-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ME71240 | Florida |
Profile Details
| NPI number | 1962430165 |
|---|---|
| LBN Legal business name | Dixon, Earl R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 20th, 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 | 1962430165 | NPPES |
| Florida | Other | 43116 | BLUE SHIELD OF FL |
| Florida | MEDICAID | 254054100 | BLUE SHIELD OF FL |
| Florida | Other | 43116 | BLUE SHIELD OF FL |
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