Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAUNTAE MARIE DIXON
Active Sole ProprietorMRS. SHAUNTAE MARIE DIXON is a Bus healthcare provider located in SOUTH BEND, Indiana. NPI 1346401957 is currently active in the NPPES registry. Verify at CMS.
Bus · SOUTH BEND, IN
Registration Details
- NPI Number
- 1346401957
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2008 (18.151651082917 yrs)
- Last Updated
- Jun 17, 2008
- Licenses
-
343900000X (IN)1728808 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23191 LAWRENCE ST23191 LAWRENCE STSOUTH BEND, IN, 466285250Browse IN providers · Browse ZIP 46628
- Phone
- 5742343107
- Fax
- 5742343107
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Bus
Other Bus Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| ANDREW MWANGI | — | 1659994572 |
| TASHA MARIE TYCE | — | 1881218469 |
| MS. ADIBA CHADDHER | — | 1316698897 |
| SHARDAY BATES | — | 1114652864 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.