Fugaro, Joseph M

Fugaro, Joseph M is an sole proprietor health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Fugaro, Joseph M can be contacted via phone (918) 382-2560.

Contact Information

Primary practice address
1120 S Utica Ave Tulsa OK 74104-4012
Phone: (918) 382-2560
Fax: (918) 382-2569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2006018901 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 37979 Oklahoma

Profile Details

NPI number 1972536969
LBN Legal business name Fugaro, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 2nd, 2021 - about 4 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 1972536969 NPPES
Missouri MEDICAID 201257300

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