Foggetti, Mary Dana
Foggetti, Mary Dana is an individual health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Foggetti, Mary Dana can be contacted via phone (920) 457-4461.Contact Information
Primary practice address
2414 Kohler Memorial Dr
Sheboygan WI 53081-3129
Phone: (920) 457-4461
Fax: (920) 459-1483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036112948 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53914-21 | Wisconsin |
Profile Details
| NPI number | 1578593257 |
|---|---|
| LBN Legal business name | Foggetti, Mary Dana |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Sep 18th, 2023 - about last year |
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 | 1578593257 | NPPES |
| Illinois | MEDICAID | 036112948 | |
| Illinois | MEDICAID | 100011708 | |
| Illinois | Other | 0222075 |
Popular Providers
-
Marsho, Patrick R
1703 N Taylor Drive , Sheboygan WI 53081-1933 -
Stauffer Vrzal, Kari Marie
1813 Ashland Ave , Sheboygan WI 53081-6125 -
Brauer, Warren A
1703 N Taylor Dr , Sheboygan WI 53081-1933 -
Pawlak, James R
1703 N Taylor Dr , Sheboygan WI 53081-1933 -
Woodford, Clifton Mac Gregor
2414 Kohler Memorial Dr , Sheboygan WI 53081-3129 -
Hollingsworth, Sonya R
1703 N Taylor Dr , Sheboygan WI 53081-1933 -
Hayden, John C
1703 N Taylor Drive , Sheboygan WI 53081-1933 -
Mancheski, Dean A
1703 N Taylor Dr , Sheboygan WI 53081-1933