Fogli, Michael J

Fogli, Michael J is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fogli, Michael J can be contacted via phone (918) 748-7650.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Phone: (918) 748-7650
Fax: (918) 403-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24626 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 24626 Oklahoma

Profile Details

NPI number 1407827579
LBN Legal business name Fogli, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 8th, 2018 - about 6 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 1407827579 NPPES
Oklahoma MEDICAID 200064990A
Oklahoma Other P00248890

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