Fox, Gary
Fox, Gary is an individual health care provider with primary practice located at 1400 E 2Nd St , Defiance OH 43512-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fox, Gary can be contacted via phone (419) 783-3264.Contact Information
Primary practice address
1400 E 2Nd St
Defiance OH 43512-2440
Phone: (419) 783-3264
Fax: (419) 783-3389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35065547 | Ohio |
Profile Details
| NPI number | 1104822287 |
|---|---|
| LBN Legal business name | Fox, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 19th, 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 | 1104822287 | NPPES |
| Ohio | MEDICAID | 0965719 |
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