Fogarty, Robert S

Fogarty, Robert S is an sole proprietor health care provider with primary practice located at 12484 Lake Underhill Rd , Orlando FL 32828-7100. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fogarty, Robert S can be contacted via phone (407) 281-0707.

Contact Information

Primary practice address
12484 Lake Underhill Rd Orlando FL 32828-7100
Phone: (407) 281-0707
Fax: (407) 273-4793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0006917 Florida

Profile Details

NPI number 1891778825
LBN Legal business name Fogarty, Robert S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Feb 28th, 2014 - about 12 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 1891778825 NPPES
Florida MEDICAID 050371100

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