Fugitt, Jonathan Brett
Fugitt, Jonathan Brett is an individual health care provider with primary practice located at 1100 Marshall Way Marshall Medical Center, Placerville CA 95667. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fugitt, Jonathan Brett can be contacted via phone (530) 626-2774.Contact Information
Primary practice address
1100 Marshall Way Marshall Medical Center
Placerville CA 95667
Phone: (530) 626-2774
Fax: (509) 248-0178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A85990 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A85992 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | A85990 | California |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A85990 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60491574 | Washington |
Profile Details
| NPI number | 1588635684 |
|---|---|
| LBN Legal business name | Fugitt, Jonathan Brett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 27th, 2016 - about 8 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 | 1588635684 | NPPES |
| California | MEDICAID | GR0053460 |
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