Dewey G Dixon is a Sports Physician in Mounds, Illinois. Dewey G Dixon practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Dewey G Dixon is 1215901236. The last update date is 2014-12-19.
Dewey G Dixon's current location address is 426 S Blanche St, Mounds, Illinois. You can contact this provider via phone number 6187456894. The mailing address for Dewey G Dixon is 426 S Blanche St, Mounds, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dewey G Dixon |
|---|---|
| Address | 426 S Blanche St, Mounds, Illinois |
| Phone Number | 6187456894 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1215901236 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2014-12-19 |
Provider Mailing Address Detail
| Address | 426 S Blanche St |
|---|---|
| City | Mounds |
| State | Illinois (IL) |
| Post Code | 629641108 |
| Phone Number | 6187456894 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38-005019 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7782002 | IL | BLUE CROSS BLUE SHIELD | |
| 131779 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the Dewey G Dixon's 1215901236?
The Dewey G Dixon's NPI (National Provider Identifier) Number is 1215901236. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dewey G Dixon located?
The Dewey G Dixon is located at 426 S Blanche St, Mounds, IL 629641108.
Could you please provide the complete physical location address of Dewey G Dixon?
The Dewey G Dixon is physically situated at 426 S Blanche St, in the city of Mounds, state of IL, with the postal code 629641108.
On what date did the Centers for Medicare & Medicaid Services issue the 1215901236 to Dewey G Dixon?
The Dewey G Dixon received its 1215901236 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the information pertaining to Dewey G Dixon most recently updated or revised?
The details related to Dewey G Dixon, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-19.
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