Provider Demographics
NPI:1396816138
Name:FOGLIA, LINDA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:FOGLIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 ANGUS DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4756
Mailing Address - Country:US
Mailing Address - Phone:919-789-3599
Mailing Address - Fax:
Practice Address - Street 1:6320 ANGUS DR
Practice Address - Street 2:SUITE D
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4756
Practice Address - Country:US
Practice Address - Phone:919-789-3599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5916100Medicaid
2456024Medicare PIN