Jerry Wayne Fox, D.C.
Individual provider Active NPI Chiropractor · Wamego, KS
NPI 1386673705 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386673705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04218 (KS)
- Practice address
- 1004 Lincoln St
Wamego, KS 66547-1502 - Phone
- (785) 456-8657
- Fax
- (785) 456-8882
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04218 | KS | MD | Professional Counselor |
| 01-04218 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04218 | KS | Yes |
Addresses
Primary practice location
1004 Lincoln St
Wamego, KS 66547-1502
Mailing address
1004 Lincoln St
P.O. Box 308
Wamego, KS 66547-1502
Phone (785) 456-8657
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.