Fox, Douglas
Fox, Douglas is an sole proprietor health care provider with primary practice located at 1621 Legend Hill Ln , Waukesha WI 53189-8085. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Fox, Douglas can be contacted via phone (262) 524-8522.Contact Information
Primary practice address
1621 Legend Hill Ln
Waukesha WI 53189-8085
Phone: (262) 524-8522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 61-154 | Wisconsin |
Profile Details
| NPI number | 1881860401 |
|---|---|
| LBN Legal business name | Fox, Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2008 |
| Last updated | May 4th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881860401 | NPPES |
| Wisconsin | MEDICAID | 42732400 |
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