Fogel, Lawrence J
Fogel, Lawrence J is an sole proprietor health care provider with primary practice located at 628 California Blvd Suite A-3, San Luis Obispo CA 93401-2542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fogel, Lawrence J can be contacted via phone (805) 543-1683.Contact Information
Primary practice address
628 California Blvd Suite A-3
San Luis Obispo CA 93401-2542
Phone: (805) 543-1683
Fax: (805) 543-3516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G18977 | California |
Profile Details
| NPI number | 1649253162 |
|---|---|
| LBN Legal business name | Fogel, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Sep 23rd, 2011 - about 14 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 | 1649253162 | NPPES |
| California | Other | 120995100 | US DEPT OF LABOR |
| California | Other | 00G189770 | US DEPT OF LABOR |
| California | MEDICAID | 00G189770 | US DEPT OF LABOR |
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