Fox, Mark Douglas

Fox, Mark Douglas is an individual health care provider with primary practice located at 1234 N Notre Dame Ave , South Bend IN 46617-1404. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Fox, Mark Douglas can be contacted via phone (574) 631-1337.

Contact Information

Primary practice address
1234 N Notre Dame Ave South Bend IN 46617-1404
Phone: (574) 631-1337
Fax: (574) 631-8932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23209 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01075847A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23209 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01075847A Indiana
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 01075847A Indiana

Profile Details

NPI number 1447220843
LBN Legal business name Fox, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 21st, 2019 - about 5 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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