Active NPIIndividual provider

Malcolm M Dixon

Counselor in Brockton, Massachusetts

NPI Number1417468679
Practice location
115 West Chestnut Street, Brockton, MA 02301
Fax
—
Last updated
October 16, 2017

Malcolm Malik Dixon is a Counselor based in Brockton, MA. Malcolm Malik Dixon practices in Brockton, MA. The NPI Number for Malcolm Malik Dixon is 1417468679. The current practice location address for Malcolm Malik Dixon is 115 West Chestnut Street, Brockton, MA 02301 and can be reached out via phone at 508-580-5162.

Provider Profile Details

NPI Number
1417468679
Provider Name
Malcolm Malik Dixon
Provider Entity Type
Individual
Gender
Male
Address
115 West Chestnut Street, Brockton, MA 02301
Phone Number
508-580-5162
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2017
Last Update Date
October 16, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 West Chestnut Street
Brockton, MA 02301
Zip
02301
Phone Number
508-580-5162
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
219 Pearl St
Fitchburg, MA 01420-2649
City
Fitchburg
State
MA
Zip
01420-2649

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Malcolm M Dixon?

The NPI number of Malcolm M Dixon is 1417468679. It was assigned on October 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Malcolm M Dixon?

Malcolm M Dixon is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Malcolm M Dixon practice?

The practice location is 115 West Chestnut Street, Brockton, MA 02301. The office can be reached at 508-580-5162 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417468679 directly on the NPPES registry website.

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