Fogle, Jerry Allen
Fogle, Jerry Allen is an individual health care provider with primary practice located at 2002 Professional Ct , Martinsburg WV 25401-8808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fogle, Jerry Allen can be contacted via phone (304) 267-4273.Contact Information
Primary practice address
2002 Professional Ct
Martinsburg WV 25401-8808
Phone: (304) 267-4273
Fax: (304) 267-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13635 | West Virginia |
Profile Details
| NPI number | 1093748576 |
|---|---|
| LBN Legal business name | Fogle, Jerry Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093748576 | NPPES |
| West Virginia | MEDICAID | 0202125000 |
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