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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669598157 NPPES
California MEDICAID 00G106080

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