Fox, Dale

Fox, Dale is an sole proprietor health care provider with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fox, Dale can be contacted via phone (619) 644-4401.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A37023 California

Profile Details

NPI number 1376642140
LBN Legal business name Fox, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated May 8th, 2008 - about 16 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 1376642140 NPPES
California MEDICAID 00A370230

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