Erich A Fogg in Wells - Physician Assistant

Erich A Fogg - NPI 1811082316

Erich A Fogg is a Physician Assistant in Wells, Maine. Erich A Fogg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Erich A Fogg is 1811082316. The last update date is 2009-12-02.

Erich A Fogg's current location address is 112 Sanford Rd, Wells, Maine. You can contact this provider via phone number 2076418100 and fax number 2076418102. The mailing address for Erich A Fogg is 112 Sanford Rd, Wells, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Erich A Fogg
Address 112 Sanford Rd, Wells, Maine
Phone Number 2076418100
Fax Number 2076418102
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1811082316
Provider Enumeration Date 2006-10-03
Last Updated Date 2009-12-02

Provider Mailing Address Detail

Address 112 Sanford Rd
City Wells
State Maine (ME)
Post Code 40905533
Phone Number 2076418100
Fax Number 2076418102

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA-763
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Erich A Fogg

What is the unique provider identifier assigned to Erich A Fogg?

The Erich A Fogg has been issued the NPI (National Provider Identifier) 1811082316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Erich A Fogg's facilities are geographically located?

The facilities of Erich A Fogg are physically situated at the following location: 112 Sanford Rd, Wells, ME, 40905533.

What is the area of specialization for Erich A Fogg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Erich A Fogg is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811082316 to Erich A Fogg?

The Centers for Medicare & Medicaid Services originally issued the 1811082316 to Erich A Fogg on 2006-10-03.

When was the information regarding Erich A Fogg most recently updated?

The details pertaining to the Erich A Fogg, including its address, specialty, and other relevant information, were last refreshed on 2009-12-02.

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