Fogt, Jennifer

Fogt, Jennifer is an individual health care provider with primary practice located at 338 W 10Th Ave , Columbus OH 43210-1280. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fogt, Jennifer can be contacted via phone (614) 292-2020.

Contact Information

Primary practice address
338 W 10Th Ave Columbus OH 43210-1280
Phone: (614) 292-2020
Fax: (614) 688-5603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5033 Ohio

Profile Details

NPI number 1639179674
LBN Legal business name Fogt, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 23rd, 2016 - about 8 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 1639179674 NPPES
Ohio Other 5033 OPTOMETRIC LICENSE

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