Fogal, Theresa

Fogal, Theresa is an sole proprietor health care provider with primary practice located at 4310 Toro Ct , Reno NV 89502-6426. She recently has only one registered license in Respite Care Facility / Respite Care, which is considered as her primary health care specialty. Fogal, Theresa can be contacted via phone (775) 852-1078.

Contact Information

Primary practice address
4310 Toro Ct Reno NV 89502-6426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1144776170
LBN Legal business name Fogal, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144776170 NPPES
Nevada MEDICAID 1821451675

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