Hogaboam, Jason Porter
Hogaboam, Jason Porter is an sole proprietor health care provider with primary practice located at 20599 Mack Ave Grosse Pointe Medpost Urgent Care, Grosse Pointe Woods MI 48236-1656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hogaboam, Jason Porter can be contacted via phone (517) 279-5400.Contact Information
Primary practice address
20599 Mack Ave Grosse Pointe Medpost Urgent Care
Grosse Pointe Woods MI 48236-1656
Phone: (517) 279-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101019788 | Michigan |
Profile Details
| NPI number | 1770847139 |
|---|---|
| LBN Legal business name | Hogaboam, Jason Porter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2012 |
| Last updated | Jan 24th, 2017 - about 7 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 | 1770847139 | NPPES |
| Michigan | Other | A26570059 | MEDICARE ID |
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