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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770847139 NPPES
Michigan Other A26570059 MEDICARE ID

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