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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1558907519 | NPPES |
Minnesota | Other | 13262 | PA LICENSE |
Minnesota | Other | 5601009493 | PA LICENSE |
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