Luke E Fogg is a Sports Physician in Woodstown, New Jersey. Luke E Fogg practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Luke E Fogg is 1346450202. The last update date is 2007-07-08.
Luke E Fogg's current location address is 57 East Ave, Woodstown, New Jersey. You can contact this provider via phone number 8567697700 and fax number 8567697900. The mailing address for Luke E Fogg is 57 East Ave, Woodstown, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luke E Fogg |
|---|---|
| Address | 57 East Ave, Woodstown, New Jersey |
| Phone Number | 8567697700 |
| Fax Number | 8567697900 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1346450202 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 57 East Ave |
|---|---|
| City | Woodstown |
| State | New Jersey (NJ) |
| Post Code | 80981408 |
| Phone Number | 8567697700 |
| Fax Number | 8567697900 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38MC00571900 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2465779 | NJ | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Luke E Fogg by the Centers for Medicare & Medicaid Services?
The Luke E Fogg has been assigned the NPI (National Provider Identifier) 1346450202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Luke E Fogg is physically located?
The Luke E Fogg is physically situated at the following address: 57 East Ave, Woodstown, NJ, 80981408.
What is Luke E Fogg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Luke E Fogg is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
When was the Luke E Fogg's 1346450202 issued?
The Luke E Fogg's 1346450202 was issued on 2007-05-22.
As of what date were the Luke E Fogg's details last updated?
The information pertaining to the Luke E Fogg, including its address, specialty, and other details, was most recently updated on 2007-07-08.