Mills, Dixie

Mills, Dixie is an individual health care provider with primary practice located at 133 Brookline Ave Surgery Dept, Boston MA 02215-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mills, Dixie can be contacted via phone (617) 421-8749.

Contact Information

Primary practice address
133 Brookline Ave Surgery Dept Boston MA 02215-3904
Phone: (617) 421-8749
Fax: (617) 421-2236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014156 Maine
Allopathic & Osteopathic Physicians / Surgery 208600000X G87842 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 70497 Massachusetts

Profile Details

NPI number 1487644076
LBN Legal business name Mills, Dixie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 3rd, 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 1487644076 NPPES
Massachusetts MEDICAID 110014264A

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