Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIXON MWOSE
ActiveDIXON MWOSE is a Day Training/Habilitation healthcare provider located in SOUTH BEND, Indiana. NPI 1598474652 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · SOUTH BEND, IN
Registration Details
- NPI Number
- 1598474652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2022 (3.7762335078818 yrs)
- Last Updated
- Nov 30, 2022
- Licenses
-
201371060-A (IN)201371060-A (IN)
Practice Information
- Address
-
2610 E JEFFERSON BLVDSOUTH BEND, IN, 466152724Browse IN providers · Browse ZIP 46615
- Phone
- 5742765026
- Fax
- 5742510869
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Day Training/Habilitation
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.