Provider Demographics
NPI:1619015138
Name:DIXON, LINDA C (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:DIXON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13809 S CASPER ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-2618
Mailing Address - Country:US
Mailing Address - Phone:918-291-0844
Mailing Address - Fax:918-291-0844
Practice Address - Street 1:13809 S CASPER ST
Practice Address - Street 2:SUITE D
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-2618
Practice Address - Country:US
Practice Address - Phone:918-291-0844
Practice Address - Fax:918-291-0844
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2181111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition