Fogarty, Kevin George

Fogarty, Kevin George is an individual health care provider with primary practice located at 839 Barton Blvd , Rockledge FL 32955-3127. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fogarty, Kevin George can be contacted via phone (321) 636-5200.

Contact Information

Primary practice address
839 Barton Blvd Rockledge FL 32955-3127
Fax: (321) 639-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH5736 Florida
Chiropractic Providers / Chiropractor 111N00000X 3373 Colorado

Profile Details

NPI number 1437130978
LBN Legal business name Fogarty, Kevin George
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 10th, 2010 - about 15 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 1437130978 NPPES
Florida MEDICAID 050371101

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