Fogarty, Sandra Suzanne

Fogarty, Sandra Suzanne is an individual health care provider with primary practice located at 269 Collingwood St , Ann Arbor MI 48103-3824. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fogarty, Sandra Suzanne can be contacted via phone (313) 563-7082.

Contact Information

Primary practice address
269 Collingwood St Ann Arbor MI 48103-3824
Phone: (313) 563-7082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01678 Michigan

Profile Details

NPI number 1528103835
LBN Legal business name Fogarty, Sandra Suzanne
Credentials HEARING AID DEALER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1528103835 NPPES
Michigan Other 540H10363 BCBS OF MI. ID #
Michigan MEDICAID 2799664 BCBS OF MI. ID #

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