Fugate, J.E.B.
Fugate, J.E.B. is an individual health care provider with primary practice located at 825 Fishburn Rd , Hershey PA 17033-2015. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fugate, J.E.B. can be contacted via phone (717) 533-5200.Contact Information
Primary practice address
825 Fishburn Rd
Hershey PA 17033-2015
Phone: (717) 533-5200
Fax: (717) 533-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001821 | Pennsylvania |
Profile Details
| NPI number | 1902971419 |
|---|---|
| LBN Legal business name | Fugate, J.E.B. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Sep 18th, 2014 - about 12 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 | 1902971419 | NPPES |
| Pennsylvania | Other | ID001997161 | HIGHMARK BS |
| Pennsylvania | MEDICAID | 102057079002 | HIGHMARK BS |
| Pennsylvania | Other | P00733848 | HIGHMARK BS |
| Pennsylvania | Other | 558206 | HIGHMARK BS |
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