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Contact Information

RALPH S DIXON, DPM
1405 KELLUM ST
SUITE 200
FAIRBANKS, AK99701-4189
 Phone: 907-451-9202
 Fax: 907-452-6256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RALPH S DIXON · (Male)

NPI Number 1558498402
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/27/2007
Last updated 10/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 2810
  • UT License # 1045450501
  • AK Medicaid PO5595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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