Fox, Jodi L

Fox, Jodi L is an individual health care provider with primary practice located at 3411 Professional Park Dr , Marion IL 62959-6394. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fox, Jodi L can be contacted via phone (618) 997-2161.

Contact Information

Primary practice address
3411 Professional Park Dr Marion IL 62959-6394
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105537 Illinois

Profile Details

NPI number 1508848284
LBN Legal business name Fox, Jodi L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 29th, 2023 - 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 1508848284 NPPES
Other P00296626 RR MEDICARE

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