Fox, Dawn Renae

Fox, Dawn Renae is an individual health care provider with primary practice located at 2725 Airview Blvd Ste 105 , Portage MI 49002-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fox, Dawn Renae can be contacted via phone (269) 349-8386.

Contact Information

Primary practice address
2725 Airview Blvd Ste 105 Portage MI 49002-1804
Phone: (269) 349-8386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704234522 Michigan

Profile Details

NPI number 1922590512
LBN Legal business name Fox, Dawn Renae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated Nov 19th, 2024 - about 2 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 1922590512 NPPES
Michigan MEDICAID 4704234522

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