Fogelberg, Kenneth W

Fogelberg, Kenneth W is an individual health care provider with primary practice located at 910 Nan Ct , Santa Maria CA 93454-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fogelberg, Kenneth W can be contacted via phone (805) 614-4023.

Contact Information

Primary practice address
910 Nan Ct Santa Maria CA 93454-3151
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00035700 Washington

Profile Details

NPI number 1801897764
LBN Legal business name Fogelberg, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
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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