Fogarty, Shana D
Fogarty, Shana D is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Fogarty, Shana D can be contacted via phone (208) 625-5085.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-5085
Fax: (208) 625-5731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61238314 | Washington |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | MD61238314 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD61238314 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M8664 | Idaho |
Profile Details
| NPI number | 1104879899 |
|---|---|
| LBN Legal business name | Fogarty, Shana D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 22nd, 2021 - about 3 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 | 1104879899 | NPPES |
| Idaho | Other | P00204201 | RAILROAD MEDICARE |
Popular Providers
-
Weill, Timothy Clark
2003 Kootenai Health Way , Coeur D Alene ID 83814-6051 -
Romero, Michael
2003 Kootenai Health Way , Coeur D Alene ID 83814-6051 -
Purrington, Peter R
1090 W Park Pl , Coeur D Alene ID 83814-2785 -
Sammond, William Harry
1130 W Prairie Ave , Coeur D Alene ID 83815-8780 -
Ferraro, Rachael Marie
2003 Kootenai Health Way , Coeur D Alene ID 83814 -
Voigt, Austin
2003 Kootenai Health Way , Coeur D Alene ID 83814-6051 -
Kreps, Matthew Michael
2003 Kootenai Health Way , Coeur D Alene ID 83814-6051 -
Siemers, John S
2003 Kootenai Health Way , Coeur D Alene ID 83814