Fox, Jeffery B

Fox, Jeffery B is an individual health care provider with primary practice located at 818 Congress St , Portland ME 04102-3112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fox, Jeffery B can be contacted via phone (207) 773-8161.

Contact Information

Primary practice address
818 Congress St Portland ME 04102-3112
Phone: (207) 773-8161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1338-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601006358 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2288 Maine

Profile Details

NPI number 1396707873
LBN Legal business name Fox, Jeffery B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 4th, 2022 - about 2 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 1396707873 NPPES
Michigan Other P52980059 MEDICARE
Michigan MEDICAID 41925000 MEDICARE

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