Fogarty, Christy Jo

Fogarty, Christy Jo is an individual health care provider with primary practice located at 636 Broadway St Ne , Minneapolis MN 55413-2164. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist. Dental Providers / Dental Therapist is her primary health care specialty. Fogarty, Christy Jo can be contacted via phone (612) 746-1530.

Contact Information

Primary practice address
636 Broadway St Ne Minneapolis MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H5961 Minnesota
Dental Providers / Dental Therapist 125J00000X DT02 Minnesota

Profile Details

NPI number 1649550260
LBN Legal business name Fogarty, Christy Jo
Credentials RDH, ADT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Nov 14th, 2017 - about 7 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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