Fockler, Craig H

Fockler, Craig H is an individual health care provider with primary practice located at 336 Bloomfield St Ste 201 , Johnstown PA 15904-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fockler, Craig H can be contacted via phone (814) 266-5650.

Contact Information

Primary practice address
336 Bloomfield St Ste 201 Johnstown PA 15904-3271
Fax: (814) 266-5653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009255L Pennsylvania

Profile Details

NPI number 1104820687
LBN Legal business name Fockler, Craig H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 17th, 2022 - 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 1104820687 NPPES
Pennsylvania MEDICAID 001600760

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