Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNA FOGG, MSPT
Deactivated Sole ProprietorANNA FOGG, MSPT is a Specialist healthcare provider located in BLOOMSBURG, Pennsylvania. NPI 1174553408 is deactivated in the NPPES registry. Verify at CMS.
Specialist · BLOOMSBURG, PA
This NPI has been deactivated.
The record was deactivated on October 11, 2016.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174553408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2006 (10.27397260274 yrs)
- Last Updated
- Mar 25, 2021
- Deactivated
- Oct 11, 2016
- License
-
PT016699L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
303 FISHER RUN RDBLOOMSBURG, PA, 178157435Browse PA providers · Browse ZIP 17815
- Phone
- 5703325280
- Fax
- 5703325280
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.