Fugate, Jeffrey Stephen
Fugate, Jeffrey Stephen is an individual health care provider with primary practice located at 2808 Old Post Road , Harrisburg PA 17110-3685. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fugate, Jeffrey Stephen can be contacted via phone (717) 920-4400.Contact Information
Primary practice address
2808 Old Post Road
Harrisburg PA 17110-3685
Phone: (717) 920-4400
Fax: (717) 920-4401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS003906L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS003906L | Pennsylvania |
Profile Details
| NPI number | 1811990054 |
|---|---|
| LBN Legal business name | Fugate, Jeffrey Stephen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 27th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811990054 | NPPES |
| Pennsylvania | MEDICAID | 000845786 | |
| Pennsylvania | Other | 060012835 |
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