Fogg, Andrew W
Fogg, Andrew W is an sole proprietor health care provider with primary practice located at 1775 Harrison Ave , Eureka CA 95501-1338. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fogg, Andrew W can be contacted via phone (707) 445-8080.Contact Information
Primary practice address
1775 Harrison Ave
Eureka CA 95501-1338
Phone: (707) 445-8080
Fax: (707) 445-8088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 26719 | California |
Profile Details
| NPI number | 1699761684 |
|---|---|
| LBN Legal business name | Fogg, Andrew W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 19th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699761684 | NPPES |
| California | Other | DC0267190 | MEDICARE PTAN |
| California | MEDICAID | DC0267190 | MEDICARE PTAN |
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