Healthcare Provider Details

I. General information

NPI: 1730365909
Provider Name (Legal Business Name): DIXON CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WEST HAYDEN
ALEXANDRIA LA
71305
US

IV. Provider business mailing address

PO BOX 11722
ALEXANDRIA LA
71315-1722
US

V. Phone/Fax

Practice location:
  • Phone: 225-772-6807
  • Fax:
Mailing address:
  • Phone: 225-772-6807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateMS

VIII. Authorized Official

Name: MR. CALVIN LIONEL DIXON
Title or Position: PRESIDENT
Credential: RRT
Phone: 225-772-6807