Provider Demographics
NPI:1669118782
Name:FOX ACUPUNCTURE AND WELLNESS, INC.
Entity type:Organization
Organization Name:FOX ACUPUNCTURE AND WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LAC DACM
Authorized Official - Phone:240-997-9075
Mailing Address - Street 1:153 LOG CANOE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2220
Mailing Address - Country:US
Mailing Address - Phone:410-855-4466
Mailing Address - Fax:
Practice Address - Street 1:133 LOG CANOE CIR STE C
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2220
Practice Address - Country:US
Practice Address - Phone:410-855-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU01989OtherBOARD OF MENTAL HEALTH AND HYGIENE