Healthcare Provider Details

I. General information

NPI: 1285763300
Provider Name (Legal Business Name): LEONARD BRUCE FOX D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 DANBURY RD
WILTON CT
06897-4808
US

IV. Provider business mailing address

PO BOX 506
GEORGETOWN CT
06829-0506
US

V. Phone/Fax

Practice location:
  • Phone: 203-544-9291
  • Fax:
Mailing address:
  • Phone: 203-544-9291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001347
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: