Fox, Thomas Carl

Fox, Thomas Carl is an sole proprietor health care provider with primary practice located at 11076 State Highway 18 , Conneaut Lake PA 16316-3530. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fox, Thomas Carl can be contacted via phone (814) 382-2945.

Contact Information

Primary practice address

11076 State Highway 18 Conneaut Lake PA 16316-3530

Phone: (814) 382-2945

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	DS024056L	Pennsylvania

Profile Details

NPI number	1134216443
LBN Legal business name	Fox, Thomas Carl
Credentials	Doctor of Dental Medicine (DMD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Oct 6th, 2006
Last updated	Sep 23rd, 2016 - about 10 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

State	Type	Number	Issuer
All States	NPI	1134216443	NPPES
Pennsylvania	Other	186327	UNITED CONCORDIA ID
Pennsylvania	MEDICAID	1013460	UNITED CONCORDIA ID

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