Fox, Clinton James

Fox, Clinton James is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fox, Clinton James can be contacted via phone (719) 365-5000.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-5000
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD20271 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0054892 Colorado

Profile Details

NPI number 1558622985
LBN Legal business name Fox, Clinton James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Aug 7th, 2015 - 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

StateTypeNumberIssuer
All States NPI 1558622985 NPPES
Colorado MEDICAID 85051802

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