Fox, Ida Keiko

Fox, Ida Keiko is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Fox, Ida Keiko can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G Saint Louis MO 63110-1032
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2006009926 Missouri

Profile Details

NPI number 1629099031
LBN Legal business name Fox, Ida Keiko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 25th, 2024 - about last year

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 1629099031 NPPES
Missouri MEDICAID 204912901

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