Fox, Wade C

Fox, Wade C is an sole proprietor health care provider with primary practice located at 2865 Daggett Ave , Klamath Falls OR 97601-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fox, Wade C can be contacted via phone (541) 885-4643.

Contact Information

Primary practice address
2865 Daggett Ave Klamath Falls OR 97601-1106
Fax: (541) 885-4649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO22880 Oregon

Profile Details

NPI number 1881700300
LBN Legal business name Fox, Wade C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated May 20th, 2009 - about 15 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 1881700300 NPPES
Oregon MEDICAID 287455

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