Provider Demographics
NPI:1225795909
Name:FOX, DARIN DAVID (STUDENT)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:DAVID
Last Name:FOX
Suffix:
Gender:M
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 PATRICIA CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-3277
Mailing Address - Country:US
Mailing Address - Phone:317-750-9364
Mailing Address - Fax:
Practice Address - Street 1:380 PATRICIA CT
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-3277
Practice Address - Country:US
Practice Address - Phone:317-750-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program