Dixon, Jeffrey David

Dixon, Jeffrey David is an individual health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dixon, Jeffrey David can be contacted via phone (918) 664-9892.

Contact Information

Primary practice address
1120 S Utica Ave Tulsa OK 74104-4012
Phone: (918) 664-9892
Fax: (918) 664-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17328 Oklahoma

Profile Details

NPI number 1669463865
LBN Legal business name Dixon, Jeffrey David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 9th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669463865 NPPES
Oklahoma MEDICAID 100111580C

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