Crystal D Dixon-Largen in Ronceverte - Specialist
Crystal D Dixon-Largen - NPI 1215013222
Crystal D Dixon-Largen is a Specialist in Ronceverte, . Crystal D Dixon-Largen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Crystal D Dixon-Largen is 1215013222. The last update date is 2007-07-09.
Crystal D Dixon-Largen's current location address is 111 Davis Stuart Road, Ronceverte, . You can contact this provider via phone number 3046473987 and fax number 3046473990. The mailing address for Crystal D Dixon-Largen is 111 Davis Stuart Road, Ronceverte, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal D Dixon-Largen |
|---|---|
| Address | 111 Davis Stuart Road, Ronceverte, |
| Phone Number | 3046473987 |
| Fax Number | 3046473990 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1215013222 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 111 Davis Stuart Road |
|---|---|
| City | Ronceverte |
| State | (WV) |
| Post Code | 24970 |
| Phone Number | 3046473987 |
| Fax Number | 3046473990 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | WV897 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7501097000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Crystal D Dixon-Largen by the Centers for Medicare & Medicaid Services?
The Crystal D Dixon-Largen has been assigned the NPI (National Provider Identifier) 1215013222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Crystal D Dixon-Largen?
The Crystal D Dixon-Largen is situated at 111 Davis Stuart Road, in the city of Ronceverte, state of WV, with the zip code 24970.
What is Crystal D Dixon-Largen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal D Dixon-Largen is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215013222 to Crystal D Dixon-Largen?
The Crystal D Dixon-Largen received its 1215013222 assignment from the Centers for Medicare & Medicaid Services on 2006-10-31.
When was the information pertaining to Crystal D Dixon-Largen most recently updated or revised?
The details related to Crystal D Dixon-Largen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY