Provider Demographics
NPI:1821666074
Name:COX, TODD LOUIS
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:LOUIS
Last Name:COX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-2425
Mailing Address - Country:US
Mailing Address - Phone:304-931-3664
Mailing Address - Fax:
Practice Address - Street 1:1619 FAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-2425
Practice Address - Country:US
Practice Address - Phone:304-931-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant