Fox, Robert R

Fox, Robert R is an individual health care provider with primary practice located at 114 Grand Ave , Wausau WI 54403-6214. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fox, Robert R can be contacted via phone (715) 845-7175.

Contact Information

Primary practice address
114 Grand Ave Wausau WI 54403-6214
Fax: (715) 845-7142
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 354-125 Wisconsin

Profile Details

NPI number 1740309848
LBN Legal business name Fox, Robert R
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 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 1740309848 NPPES
Wisconsin MEDICAID 39653400

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