Provider Demographics
NPI:1881231017
Name:T. FOX CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:T. FOX CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERISA
Authorized Official - Middle Name:T
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-443-7369
Mailing Address - Street 1:2815 EAST AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4790
Mailing Address - Country:US
Mailing Address - Phone:925-443-7369
Mailing Address - Fax:925-443-7369
Practice Address - Street 1:2815 EAST AVE STE B
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4790
Practice Address - Country:US
Practice Address - Phone:925-443-7369
Practice Address - Fax:925-443-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty