Provider Demographics
NPI:1790716173
Name:FOX, TROY A (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:A
Last Name:FOX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4844
Mailing Address - Country:US
Mailing Address - Phone:620-241-2025
Mailing Address - Fax:620-245-9641
Practice Address - Street 1:200 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4844
Practice Address - Country:US
Practice Address - Phone:620-241-2025
Practice Address - Fax:620-245-9641
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062224Medicare ID - Type Unspecified
KS660122Medicare ID - Type UnspecifiedGROUP NUMBER