Fogarty, Charles M
Fogarty, Charles M is an sole proprietor health care provider with primary practice located at 2030 N Church Place , Spartanburg SC 29303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fogarty, Charles M can be contacted via phone (864) 558-2685.Contact Information
Primary practice address
2030 N Church Place
Spartanburg SC 29303
Phone: (864) 558-2685
Fax: (864) 585-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 8691 | South Carolina |
Profile Details
| NPI number | 1316919194 |
|---|---|
| LBN Legal business name | Fogarty, Charles M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jun 11th, 2012 - 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 | 1316919194 | NPPES |
| South Carolina | MEDICAID | 086917 | |
| South Carolina | Other | 8688 | |
| South Carolina | Other | 290011624 |
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