Hoag, Mark
Hoag, Mark is an individual health care provider with primary practice located at 6610 Se Quakervale Rd , Riverton KS 66770-4185. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hoag, Mark can be contacted via phone (620) 848-2300.Contact Information
Primary practice address
6610 Se Quakervale Rd
Riverton KS 66770-4185
Phone: (620) 848-2300
Fax: (620) 848-2301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1255620662 |
|---|---|
| LBN Legal business name | Hoag, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2011 |
| Last updated | Apr 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255620662 | NPPES |
| Kansas | MEDICAID | 1205970126 |
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