Fogel, Michael R
Fogel, Michael R is an individual health care provider with primary practice located at 751 S Bascom Ave Gastroenterology Dept, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fogel, Michael R can be contacted via phone (408) 885-7947.Contact Information
Primary practice address
751 S Bascom Ave Gastroenterology Dept
San Jose CA 95128-2604
Phone: (408) 885-7947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G10608 | California |
Profile Details
| NPI number | 1669598157 |
|---|---|
| LBN Legal business name | Fogel, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669598157 | NPPES |
| California | MEDICAID | 00G106080 |
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