Dixon, Mark C

Dixon, Mark C is an individual health care provider with primary practice located at 135 W Ravine Rd Ste 5B, Kingsport TN 37660-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dixon, Mark C can be contacted via phone (423) 224-3460.

Contact Information

Primary practice address
135 W Ravine Rd Ste 5B Kingsport TN 37660-3847
Phone: (423) 224-3460
Fax: (423) 224-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21110 Tennessee

Profile Details

NPI number 1457345506
LBN Legal business name Dixon, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 7th, 2017 - about 8 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 1457345506 NPPES
Other 050058687 RR MEDICARE
Other 262469 RR MEDICARE
Other 3066808 RR MEDICARE
MEDICAID 100011121 RR MEDICARE
MEDICAID 3073685 RR MEDICARE
MEDICAID 5708419 RR MEDICARE
Other 00013859 RR MEDICARE
Other TN0100 RR MEDICARE

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