Fox, Stephanie J

Fox, Stephanie J is an individual health care provider with primary practice located at 3100 Kennard St , Maplewood MN 55109-5465. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Fox, Stephanie J can be contacted via phone (651) 326-1044.

Contact Information

Primary practice address
3100 Kennard St Maplewood MN 55109-5465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 104273 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2008008163 Missouri
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 52217 Minnesota

Profile Details

NPI number 1770600884
LBN Legal business name Fox, Stephanie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Oct 24th, 2011 - about 13 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 1770600884 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P0083991
Minnesota MEDICAID ENROLLED

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