Individual provider · Type 1 NPI

Micah Fox

Student in an Organized Health Care Education/Training Program · Fort Bragg, CA

NPI number 1073397279 Active

Practice location

215 S Main St
Fort Bragg, CA 95437-4210

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Other practice locations

  • 516 Cypress St, Fort Bragg, CA 95437-5410 · (707) 467-2010

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

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About NPI 1073397279

Micah Fox's National Provider Identifier is 1073397279, issued on Aug 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Bragg, CA. The record was last updated on Aug 6, 2025.