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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881860401 NPPES
Wisconsin MEDICAID 42732400

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