Dr Luke E Fogg Jr, DC is a
Chiropractor - Sports Physician based in Woodstown, New Jersey. Dr Luke E Fogg Jr is licensed to practice in New Jersey (license number 38MC00571900) and his current practice location is
57 East Ave, Woodstown, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 769-7700.
NPI number for Dr Luke E Fogg Jr is 1346450202 and his current mailing address is 57 East Ave, Woodstown, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346450202.
Healthcare Provider's Profile
| Full Name | Dr Luke E Fogg Jr |
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| Gender | Male |
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| Speciality | Chiropractor - Sports Physician |
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| Location | 57 East Ave, Woodstown, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346450202
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Luke E Fogg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346450202 | NPI | - | NPPES |
| 2465779 | Other | NJ | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NI0013X | Chiropractor - Independent Medical Examiner | 38MC00571900 (New Jersey) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | 38MC00571900 (North Carolina) | Primary |
| 111NS0005X | Chiropractor - Sports Physician | 38MC00571900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luke E Fogg Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Luke E Fogg Jr, DC
57 East Ave,
Woodstown, NJ 08098-1408
Ph: (856) 769-7700 | Dr Luke E Fogg Jr, DC
57 East Ave,
Woodstown, NJ 08098-1408
Ph: (856) 769-7700 |
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