Robert W Dixon Jr Md Pc

LBN: Robert W Dixon Jr Md Pc
Robert W Dixon Jr Md Pc is an health care organization with primary practice located at 1310 Wisconsin Ave Suite 200, Grand Haven MI 49417-2472. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert W Dixon Jr Md Pc can be contacted via phone (616) 846-2640, or through Dixon, Robert W via phone (616) 846-2640.

Contact Information

Primary practice address
1310 Wisconsin Ave Suite 200 Grand Haven MI 49417-2472
Phone: (616) 846-2640
Fax: (616) 846-3110
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Robert W Doctor of Medicine (MD)
Phone: (616) 846-2640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301035255 Michigan

Profile Details

NPI number 1023284304
LBN Legal business name Robert W Dixon Jr Md Pc
DBA Doing business as
Authorized official Dixon, Robert W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated Oct 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023284304 NPPES
Michigan MEDICAID 1363656

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