Fox, Jonathan Raphael

Fox, Jonathan Raphael is an individual health care provider with primary practice located at 1010 Three Springs Blvd , Durango CO 81301-8296. 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, Jonathan Raphael can be contacted via phone (970) 247-4311.

Contact Information

Primary practice address
1010 Three Springs Blvd Durango CO 81301-8296
Phone: (970) 247-4311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 883 Colorado

Profile Details

NPI number 1780795500
LBN Legal business name Fox, Jonathan Raphael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780795500 NPPES
Colorado MEDICAID 07008832
Colorado MEDICAID S4634

Popular Providers