Foggle, John L

Foggle, John L is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Foggle, John L can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12121 Rhode Island

Profile Details

NPI number 1720027253
LBN Legal business name Foggle, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 17th, 2013 - about 11 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 1720027253 NPPES
Rhode Island Other 939025129 RI MEDICARE GROUP NUMBER
Rhode Island Other NPI RI MEDICARE GROUP NUMBER
Rhode Island Other 12/29/2008 RI MEDICARE GROUP NUMBER
Rhode Island Other 9/26/2006 RI MEDICARE GROUP NUMBER
Rhode Island MEDICAID 2119871 RI MEDICARE GROUP NUMBER
Rhode Island Other 413496 RI MEDICARE GROUP NUMBER
Rhode Island MEDICAID 7058592 RI MEDICARE GROUP NUMBER

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