Provider Demographics
NPI:1932892775
Name:FOX, DANILLE L
Entity Type:Individual
Prefix:
First Name:DANILLE
Middle Name:L
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 DEERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44411-8709
Mailing Address - Country:US
Mailing Address - Phone:234-281-7048
Mailing Address - Fax:
Practice Address - Street 1:2301 DEERFIELD DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:OH
Practice Address - Zip Code:44411-8709
Practice Address - Country:US
Practice Address - Phone:234-281-7048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide