Fogg, Lynette

Fogg, Lynette is an individual health care provider with primary practice located at 1191 E Iron Eagle Dr Suite 200, Eagle ID 83616-5148. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fogg, Lynette can be contacted via phone (208) 286-2837.

Contact Information

Primary practice address
1191 E Iron Eagle Dr Suite 200 Eagle ID 83616-5148
Phone: (208) 286-2837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-5273 Idaho

Profile Details

NPI number 1912335506
LBN Legal business name Fogg, Lynette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2013
Last updated Oct 17th, 2013 - about 13 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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