Provider Demographics
NPI:1730365909
Name:DIXON CONSULTANTS, INC.
Entity type:Organization
Organization Name:DIXON CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
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 11722
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-1722
Mailing Address - Country:US
Mailing Address - Phone:225-772-6807
Mailing Address - Fax:
Practice Address - Street 1:214 WEST HAYDEN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71305
Practice Address - Country:US
Practice Address - Phone:225-772-6807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00987367Medicaid