Fischvogt, Kent D

Fischvogt, Kent D is an individual health care provider with primary practice located at 2350 Northpark , Columbus IN 47203-4466. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fischvogt, Kent D can be contacted via phone (812) 372-7312.

Contact Information

Primary practice address
2350 Northpark Columbus IN 47203-4466
Fax: (812) 378-9451
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12007340 Indiana

Profile Details

NPI number 1326123365
LBN Legal business name Fischvogt, Kent D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 10th, 2008 - about 16 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 1326123365 NPPES
Indiana Other 000000184398 ANTHEM BCBS

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