Fogle, Elaine Michelle

Fogle, Elaine Michelle is an sole proprietor health care provider with primary practice located at 220 E Spring Valley Pike Ste 200 , Centerville OH 45458-2653. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fogle, Elaine Michelle can be contacted via phone (937) 436-3117.

Contact Information

Primary practice address
220 E Spring Valley Pike Ste 200 Centerville OH 45458-2653
Phone: (937) 436-3117
Fax: (937) 436-0730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35125822 Ohio

Profile Details

NPI number 1326314238
LBN Legal business name Fogle, Elaine Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2012
Last updated Apr 15th, 2025 - about last year

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 1326314238 NPPES
Ohio MEDICAID 0125437

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