Fox, Clinton Wade

Fox, Clinton Wade is an individual health care provider with primary practice located at 2920 E Moore Ave , Searcy AR 72143-4831. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fox, Clinton Wade can be contacted via phone (501) 203-0123.

Contact Information

Primary practice address
2920 E Moore Ave Searcy AR 72143-4831
Phone: (501) 203-0123
Fax: (501) 500-6391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-2799 Arkansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E-2799 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E2799 Arkansas

Profile Details

NPI number 1588621742
LBN Legal business name Fox, Clinton Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 14th, 2022 - about 4 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 1588621742 NPPES
Arkansas MEDICAID 143638001

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