Fogle, Brooklynne Elizabeth

Fogle, Brooklynne Elizabeth is an individual health care provider with primary practice located at 2707 W Edgewood Dr Ste 102 , Jefferson City MO 65109-5886. 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. Fogle, Brooklynne Elizabeth can be contacted via phone (573) 761-1830.

Contact Information

Primary practice address
2707 W Edgewood Dr Ste 102 Jefferson City MO 65109-5886
Phone: (573) 761-1830
Fax: (573) 761-1829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2021003259 Missouri

Profile Details

NPI number 1902427040
LBN Legal business name Fogle, Brooklynne Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Dec 15th, 2023 - about 3 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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