Fox, Nichole Dawn

Fox, Nichole Dawn is an individual health care provider with primary practice located at 300 W Main St , Medford OR 97501-2756. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fox, Nichole Dawn can be contacted via phone (541) 772-1777.

Contact Information

Primary practice address
300 W Main St Medford OR 97501-2756
Phone: (541) 772-1777
Fax: (541) 858-7593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-22-1388 Oregon

Profile Details

NPI number 1386005973
LBN Legal business name Fox, Nichole Dawn
Credentials PSS, CADC-R
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2016
Last updated Dec 21st, 2022 - 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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