Fox, Gary Richard

Fox, Gary Richard is an individual health care provider with primary practice located at 1723 S Ray St , Spokane WA 99223-3832. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Fox, Gary Richard can be contacted via phone (509) 535-7434.

Contact Information

Primary practice address
1723 S Ray St Spokane WA 99223-3832
Phone: (509) 535-7434
Fax: (509) 536-4744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000044 Washington

Profile Details

NPI number 1932267945
LBN Legal business name Fox, Gary Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1932267945 NPPES
Washington MEDICAID 5021027
Washington Other 91062

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