Andrew W Fogg is a Chiropractor in Eureka, California. Andrew W Fogg practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Andrew W Fogg is 1699761684. The last update date is 2017-07-19.
Andrew W Fogg's current location address is 1775 Harrison Ave, Eureka, California. You can contact this provider via phone number 7074458080 and fax number 7074458088. The mailing address for Andrew W Fogg is 1775 Harrison Ave, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew W Fogg |
|---|---|
| Address | 1775 Harrison Ave, Eureka, California |
| Phone Number | 7074458080 |
| Fax Number | 7074458088 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1699761684 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2017-07-19 |
Provider Mailing Address Detail
| Address | 1775 Harrison Ave |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 955011338 |
| Phone Number | 7074458080 |
| Fax Number | 7074458088 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC 26719 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC0267190 | CA | MEDICARE PTAN | |
| DC0267190 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Andrew W Fogg by the Centers for Medicare & Medicaid Services?
The Andrew W Fogg has been issued the NPI (National Provider Identifier) 1699761684. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrew W Fogg?
The Andrew W Fogg is situated at 1775 Harrison Ave, in the city of Eureka, state of CA, with the zip code 955011338.
What is Andrew W Fogg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew W Fogg's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When did the Andrew W Fogg receive its 1699761684?
The Andrew W Fogg was issued its 1699761684 on 2005-09-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Andrew W Fogg most recently updated?
The details pertaining to the Andrew W Fogg, including its address, specialty, and other relevant information, were last refreshed on 2017-07-19.