Provider Demographics
NPI:1619141934
Name:DIXON CONSULTANTS INC
Entity Type:Organization
Organization Name:DIXON CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:LIONEL
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:225-772-6807
Mailing Address - Street 1:PO BOX 764
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39190-0764
Mailing Address - Country:US
Mailing Address - Phone:225-772-6807
Mailing Address - Fax:318-445-1105
Practice Address - Street 1:18 OLD HIGHWAY 84 NO 1
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-8474
Practice Address - Country:US
Practice Address - Phone:225-772-6807
Practice Address - Fax:318-445-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS113330246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00987367Medicaid
MSY28530Medicare UPIN
MS00987367Medicaid