Fogarty, Lucas

Fogarty, Lucas is an sole proprietor health care provider with primary practice located at 2222 Prince St , Berkeley CA 94705-1819. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fogarty, Lucas can be contacted via phone (510) 982-9006.

Contact Information

Primary practice address
2222 Prince St Berkeley CA 94705-1819
Phone: (510) 982-9006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1033676622
LBN Legal business name Fogarty, Lucas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 7 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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