Hogan, Amber Imani

Hogan, Amber Imani is an individual health care provider with primary practice located at 861 Health Park Blvd , Grand Blanc MI 48439-7383. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hogan, Amber Imani can be contacted via phone (810) 953-0500.

Contact Information

Primary practice address
861 Health Park Blvd Grand Blanc MI 48439-7383
Phone: (810) 953-0500
Fax: (810) 953-0031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1558907519
LBN Legal business name Hogan, Amber Imani
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Mar 7th, 2023 - about 2 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 1558907519 NPPES
Minnesota Other 13262 PA LICENSE
Minnesota Other 5601009493 PA LICENSE

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