Fosdick, Claude Carl

Fosdick, Claude Carl is an sole proprietor health care provider with primary practice located at 560 N Camino Mercado Ste 7 , Casa Grande AZ 85122-5759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fosdick, Claude Carl can be contacted via phone (520) 836-5538.

Contact Information

Primary practice address
560 N Camino Mercado Ste 7 Casa Grande AZ 85122-5759
Phone: (520) 836-5538
Fax: (844) 772-0049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13210 Arizona

Profile Details

NPI number 1568408516
LBN Legal business name Fosdick, Claude Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Apr 1st, 2022 - about 2 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 1568408516 NPPES
Arizona Other AZ0391880 BLUE CROSS BLUE SHIELD AZ
Arizona Other 13210 BLUE CROSS BLUE SHIELD AZ
Arizona MEDICAID 296055 BLUE CROSS BLUE SHIELD AZ

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