Fugate, Brittany Moore

Fugate, Brittany Moore is an individual health care provider with primary practice located at 1484 Lakeside Drive , Jackson KY 41339-6555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fugate, Brittany Moore can be contacted via phone (606) 666-9950.

Contact Information

Primary practice address
1484 Lakeside Drive Jackson KY 41339-6555
Phone: (606) 666-9950
Fax: (606) 666-9136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04480 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04480 Kentucky

Profile Details

NPI number 1871980003
LBN Legal business name Fugate, Brittany Moore
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated May 19th, 2022 - 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 1871980003 NPPES
Kentucky MEDICAID 7100604970

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