Fogarty, Theresa C.

Fogarty, Theresa C. is an individual health care provider with primary practice located at 1225 E Garrison Blvd , Gastonia NC 28054-5115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fogarty, Theresa C. can be contacted via phone (704) 865-7416.

Contact Information

Primary practice address
1225 E Garrison Blvd Gastonia NC 28054-5115
Phone: (704) 865-7416
Fax: (704) 865-7232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101807 North Carolina

Profile Details

NPI number 1346237286
LBN Legal business name Fogarty, Theresa C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 12th, 2010 - 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 1346237286 NPPES
North Carolina Other 101807 MEDICAL LICENSE

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