Fogarty, Cheryl A

Fogarty, Cheryl A is an individual health care provider with primary practice located at 3103 Mcclelland Blvd , Joplin MO 64804-1640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fogarty, Cheryl A can be contacted via phone (417) 624-2621.

Contact Information

Primary practice address
3103 Mcclelland Blvd Joplin MO 64804-1640
Phone: (417) 624-2621
Fax: (417) 624-4652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2003008358 Missouri

Profile Details

NPI number 1316974207
LBN Legal business name Fogarty, Cheryl A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 18th, 2011 - about 15 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 1316974207 NPPES
Oklahoma MEDICAID 200008560A
Oklahoma MEDICAID 208438408
Oklahoma Other P00008391
Oklahoma MEDICAID 100454900B
Oklahoma MEDICAID 100454900A
Oklahoma Other 177853
Oklahoma MEDICAID 200008560B

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