Fox, David A

Fox, David A is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fox, David A can be contacted via phone (660) 562-2600.

Contact Information

Primary practice address
2016 S Main St Maryville MO 64468-2655
Phone: (660) 562-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005024752 Missouri

Profile Details

NPI number 1689639619
LBN Legal business name Fox, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689639619 NPPES
Missouri Other P00272237 RAILROAD MEDICARE
Missouri Other 202070 RAILROAD MEDICARE
Missouri MEDICAID 200311207 RAILROAD MEDICARE
Missouri Other 720478 RAILROAD MEDICARE

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