Fox, Tina

Fox, Tina is an individual health care provider with primary practice located at 2915 N Meade St , Appleton WI 54911-1509. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fox, Tina can be contacted via phone (920) 831-8711.

Contact Information

Primary practice address
2915 N Meade St Appleton WI 54911-1509
Phone: (920) 831-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 369-19 Wisconsin

Profile Details

NPI number 1770617904
LBN Legal business name Fox, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1770617904 NPPES
Wisconsin MEDICAID 40172400

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