Provider Demographics
NPI:1699560862
Name:DIXON, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:DIXON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 URBANA WOODSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:CABLE
Mailing Address - State:OH
Mailing Address - Zip Code:43009-9667
Mailing Address - Country:US
Mailing Address - Phone:937-844-1432
Mailing Address - Fax:
Practice Address - Street 1:5843 URBANA WOODSTOCK RD
Practice Address - Street 2:
Practice Address - City:CABLE
Practice Address - State:OH
Practice Address - Zip Code:43009-9667
Practice Address - Country:US
Practice Address - Phone:937-844-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide