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Elaine Michelle Fogle
Family Medicine Physician in Centerville, Ohio
NPI 1326314238

Elaine Michelle Fogle is a Family Medicine Physician based in Centerville, OH. Elaine Michelle Fogle practices in Centerville, OH. The NPI Number for Elaine Michelle Fogle is 1326314238 and holds a License No. (Ohio).

The current practice location address for Elaine Michelle Fogle is 220 E Spring Valley Pike, Centerville, OH and can be reached out via phone at 937-436-3117 and via fax at 937-436-0730.

Location: 220 E Spring Valley Pike, Centerville, OH, 45458-2653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326314238
Provider Name
Elaine Michelle Fogle
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 E Spring Valley Pike, Centerville, OH, 45458-2653
Phone Number
937-436-3117
Fax Number
937-436-0730
Provider Enumeration Date
03/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0125437 05 OH
institution
Provider Business Practice Location Address Details
Address
220 E Spring Valley Pike
City
Centerville
State
Ohio
Zip
45458-2653
Phone Number
937-436-3117
Fax Number
937-436-0730
person
Provider Business Mailing Address Details
Address
220 E Spring Valley Pike
City
Centerville
State
Ohio
Zip
45458-2653
Phone Number
937-436-3117
Fax Number
937-436-0730
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
35125822 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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