Fogle, Elaine Michelle
Fogle, Elaine Michelle is an sole proprietor health care provider with primary practice located at 220 E Spring Valley Pike , 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
Centerville OH 45458-2653
Phone: (937) 436-3117
Fax: (937) 436-0730
Website:
Health care specialties
| Specialty | Code | License # | 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 | Jan 14th, 2021 - about 5 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 | 1326314238 | NPPES |
| Ohio | MEDICAID | 0125437 |
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