Provider Demographics
NPI:1508579905
Name:FOX, SOPHIA JULIANA (ND)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:JULIANA
Last Name:FOX
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:VANDYNHOVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5652 26TH ST S APT 108A
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7729
Mailing Address - Country:US
Mailing Address - Phone:208-651-7449
Mailing Address - Fax:
Practice Address - Street 1:1506 30TH AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5195
Practice Address - Country:US
Practice Address - Phone:218-284-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath