Dr. Dewey G Dixon JR.
Chiropractic Sports Physician
426 S Blanche St
Mounds
, Illinois 62964-1108
Dr. Dewey G Dixon JR.
Chiropractic Sports Physician
426 S Blanche St
Mounds
, Illinois 62964-1108
(618) 745-6894
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Dewey G Dixon JR.
- 426 S Blanche St
- Mounds, IL
- Zip : 62964-1108
- Phone : (618) 745-6894
Second Address
- Dr. Dewey G Dixon JR.
- 426 S Blanche St
- Mounds, IL
- Zip : 62964-1108
- Fax : (618) 745-6113
- Phone : (618) 745-6894
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 38-005019 | IL |
National Provider Identifier
| NPI | 1215901236 |
|---|---|
| Provider Name | Dr. Dewey G Dixon JR. |
| First Address | Mounds, IL 62964-1108 |
| Second Address | Mounds, IL 62964-1108 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 19/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 131779 | HEALTHLINK (01) | IL |
| 7782002 | BLUE CROSS BLUE SHIELD (01) | IL |
| T38161 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.