DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRISTY JO FOGARTY, RDH, ADT

Active

CHRISTY JO FOGARTY, RDH, ADT is a 125J00000X healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1649550260 is currently active in the NPPES registry. Verify at CMS.

125J00000X · MINNEAPOLIS, MN

Registration Details

NPI Number
1649550260
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2011 (14.926215007051 yrs)
Last Updated
Nov 14, 2017
Licenses
H5961 (MN)
DT02 (MN)

Practice Information

Address
636 BROADWAY ST NE
MINNEAPOLIS, MN, 554132164
Browse MN providers · Browse ZIP 55413
Phone
6127461530
Fax
6127461531
Primary Specialty
125J00000X
125J00000X
Additional Specialty
125J00000X

Other 125J00000X Providers in MINNEAPOLIS, MN

Name Credential NPI
MRS. EVA MARIE ROMERO ADT 1033495494
JANELLE JEHN 1003230137
JODI BECKER 1164830949
MRS. TERESA BUSHNELL 1114315678
TRINA COURTRIGHT D.T. 1124416789
VERNY MARTINEZ 1679962708
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.