Fogle, Vernell Kennedy
Fogle, Vernell Kennedy is an sole proprietor health care provider with primary practice located at 1107 Belleview St Suite 102, Columbia SC 29201-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fogle, Vernell Kennedy can be contacted via phone (803) 381-3171.Contact Information
Primary practice address
1107 Belleview St Suite 102
Columbia SC 29201-1810
Phone: (803) 381-3171
Fax: (803) 312-9983
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 747 | South Carolina |
Profile Details
NPI number | 1063411452 |
---|---|
LBN Legal business name | Fogle, Vernell Kennedy |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 18th, 2005 |
Last updated | Nov 30th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063411452 | NPPES |
South Carolina | MEDICAID | PS0373 |
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