Dixon, Tyson Lee

Dixon, Tyson Lee is an sole proprietor health care provider with primary practice located at 117 High St , Lock Haven PA 17745-3742. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Occupational Health, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Dixon, Tyson Lee can be contacted via phone (570) 893-1110.

Contact Information

Primary practice address
117 High St Lock Haven PA 17745-3742
Phone: (570) 893-1110
Fax: (570) 893-1112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X DC 007056-L Pennsylvania
Chiropractic Providers / Chiropractor 111N00000X DC 007056-L Pennsylvania

Profile Details

NPI number 1376683094
LBN Legal business name Dixon, Tyson Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Oct 25th, 2011 - about 15 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 1376683094 NPPES
Pennsylvania MEDICAID 001705879-0003
Pennsylvania Other 977051

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