Dixon, Jody Lee K

Dixon, Jody Lee K is an individual health care provider with primary practice located at 101 Washington St , Harrisburg PA 17104. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Dixon, Jody Lee K can be contacted via phone (717) 221-6258.

Contact Information

Primary practice address
101 Washington St Harrisburg PA 17104
Phone: (717) 221-6258
Fax: (717) 221-6266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN000432 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN000432 Pennsylvania

Profile Details

NPI number 1225070204
LBN Legal business name Dixon, Jody Lee K
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 16th, 2020 - about 6 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 1225070204 NPPES
Pennsylvania Other DN000432 LICENSE
Pennsylvania MEDICAID 102287927 LICENSE

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