Fox, Wallace Dale

Fox, Wallace Dale is an individual health care provider with primary practice located at 1400 Main St Unit 177 , Clarksville IN 47129-3108. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Fox, Wallace Dale can be contacted via phone (812) 946-2674.

Contact Information

Primary practice address
1400 Main St Unit 177 Clarksville IN 47129-3108
Phone: (812) 946-2674
Fax: (844) 832-9625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007238A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71007238A Indiana

Profile Details

NPI number 1043731615
LBN Legal business name Fox, Wallace Dale
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2017
Last updated Dec 19th, 2023 - about 3 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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