Fox, Gary John
Fox, Gary John is an individual health care provider with primary practice located at 501 Ocean Ave , New London CT 06320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fox, Gary John can be contacted via phone (860) 442-6364.Contact Information
Primary practice address
501 Ocean Ave
New London CT 06320
Phone: (860) 442-6364
Fax: (860) 447-9977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1508814765 |
|---|---|
| LBN Legal business name | Fox, Gary John |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 26th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814765 | NPPES |
| Connecticut | MEDICAID | 004150455 |
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