Fogle, Samuel Patrick

Fogle, Samuel Patrick is an sole proprietor health care provider with primary practice located at 1219 E South 11Th St Suite A, Abilene TX 79602-4283. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fogle, Samuel Patrick can be contacted via phone (325) 676-2039.

Contact Information

Primary practice address
1219 E South 11Th St Suite A Abilene TX 79602-4283
Phone: (325) 676-2039
Fax: (325) 480-4784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 16245 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16245 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16245 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16245 Texas

Profile Details

NPI number 1790752319
LBN Legal business name Fogle, Samuel Patrick
Credentials M.S., L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1790752319 NPPES
Texas Other 7252LC BLUE CROSS & BLUE SHIELD

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