Fogg, Jason K

Fogg, Jason K is an individual health care provider with primary practice located at 1305 N Elm St , Henderson KY 42420-2783. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fogg, Jason K can be contacted via phone (270) 957-8800.

Contact Information

Primary practice address
1305 N Elm St Henderson KY 42420-2783
Phone: (270) 957-8800
Fax: (270) 957-8797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OT012163 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 03504 Kentucky

Profile Details

NPI number 1831338151
LBN Legal business name Fogg, Jason K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2009
Last updated Nov 5th, 2020 - about 5 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 1831338151 NPPES
Kentucky MEDICAID 7100205830

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