Fogelson, Bernard

Fogelson, Bernard is an individual health care provider with primary practice located at 3611 S Reed Rd Suite 103, Kokomo IN 46902-3828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fogelson, Bernard can be contacted via phone (765) 864-5786.

Contact Information

Primary practice address
3611 S Reed Rd Suite 103 Kokomo IN 46902-3828
Phone: (765) 864-5786
Fax: (765) 864-5787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01058072A Indiana

Profile Details

NPI number 1518965169
LBN Legal business name Fogelson, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 20th, 2013 - about 12 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 1518965169 NPPES
Indiana MEDICAID 200450400

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