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NPI Code Detail

MEDICARE: FOGG HEALTH AND WELLNESS

MEDICARE: FOGG HEALTH AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1154273720
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOGG HEALTH AND WELLNESS
Provider Business Mailing Address
First Line : 1824 W LINCOLN AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-5918
Country : US
Telephone Number : 574-534-6824
Fax Number :
Provider Business Practice Location Address
First Line : 1824 W LINCOLN AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-5918
Country : US
Telephone Number : 574-534-6824
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEGAN LEE BROWN
Credential : DC
Telephone Number : 574-238-2241
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “FOGG HEALTH AND WELLNESS ” Practice Location

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