Fox, Jon R

Fox, Jon R is an individual health care provider with primary practice located at 10798 W Overland Rd , Boise ID 83709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fox, Jon R can be contacted via phone (208) 377-3368.

Contact Information

Primary practice address
10798 W Overland Rd Boise ID 83709
Phone: (208) 377-3368
Fax: (208) 322-4691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001388 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1083 Idaho

Profile Details

NPI number 1447221932
LBN Legal business name Fox, Jon R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 15th, 2021 - about 5 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 1447221932 NPPES
Other 970025826 RAILRAOD MEDICARE

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