Healthcare Provider Details

I. General information

NPI: 1982941241
Provider Name (Legal Business Name): DR. DAVID B. FOX, D.C.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 PARK AVE W
MANSFIELD OH
44906-3115
US

IV. Provider business mailing address

429 PARK AVE W
MANSFIELD OH
44906-3115
US

V. Phone/Fax

Practice location:
  • Phone: 419-524-2255
  • Fax: 419-524-1645
Mailing address:
  • Phone: 419-524-2255
  • Fax: 419-524-1645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0851
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number0851
License Number StateOH

VIII. Authorized Official

Name: DR. DAVID B FOX
Title or Position: CHIROPRACTOR/PRESIDENT
Credential: DC
Phone: 419-524-2255