Fogle, Jennifer Ann

Fogle, Jennifer Ann is an individual health care provider with primary practice located at 2910 Emerson Ave , Parkersburg WV 26104. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fogle, Jennifer Ann can be contacted via phone (304) 239-5355.

Contact Information

Primary practice address
2910 Emerson Ave Parkersburg WV 26104
Phone: (304) 239-5355
Fax: (304) 622-6856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1013640762
LBN Legal business name Fogle, Jennifer Ann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2022
Last updated Jun 12th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013640762 NPPES
West Virginia MEDICAID 1619379559

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