Fogarty, Charles M

Fogarty, Charles M is an sole proprietor health care provider with primary practice located at 2030 N Church Place , Spartanburg SC 29303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fogarty, Charles M can be contacted via phone (864) 558-2685.

Contact Information

Primary practice address
2030 N Church Place Spartanburg SC 29303
Phone: (864) 558-2685
Fax: (864) 585-0999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 8691 South Carolina

Profile Details

NPI number 1316919194
LBN Legal business name Fogarty, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jun 11th, 2012 - about 14 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 1316919194 NPPES
South Carolina MEDICAID 086917
South Carolina Other 8688
South Carolina Other 290011624

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