Fugate, Jonathan
Fugate, Jonathan is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fugate, Jonathan can be contacted via phone (417) 872-7002.Contact Information
Primary practice address
576 Jefferson Ave
Fort Eustis VA 23604-1373
Phone: (417) 872-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002752 | Virginia |
Profile Details
| NPI number | 1083270003 |
|---|---|
| LBN Legal business name | Fugate, Jonathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2019 |
| Last updated | Dec 12th, 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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