Provider Demographics
NPI:1245727551
Name:FOX, FRANK LYNN JR (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:LYNN
Last Name:FOX
Suffix:JR
Gender:M
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:PETE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUDIOLOGIST
Mailing Address - Street 1:1522 E PERKINS AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7991
Mailing Address - Country:US
Mailing Address - Phone:419-625-7339
Mailing Address - Fax:419-627-8040
Practice Address - Street 1:1522 E PERKINS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870
Practice Address - Country:US
Practice Address - Phone:419-625-7339
Practice Address - Fax:419-827-8040
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00518237700000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0315083Medicaid