Fox, Mark Alan

Fox, Mark Alan is an individual health care provider with primary practice located at 100 Lantana Rd Suite 202, Crossville TN 38555-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fox, Mark Alan can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Rd Suite 202 Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (931) 484-5620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD18036 Tennessee

Profile Details

NPI number 1073526596
LBN Legal business name Fox, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jun 7th, 2021 - about 4 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 1073526596 NPPES
Tennessee Other 123414 BLUE CROSS
Tennessee Other 020015278 BLUE CROSS
Tennessee MEDICAID 3058927 BLUE CROSS

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