Hogan, Greg N
Hogan, Greg N is an sole proprietor health care provider with primary practice located at 4825 50Th St , Lubbock TX 79414-3428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hogan, Greg N can be contacted via phone (806) 797-1173.Contact Information
Primary practice address
4825 50Th St
Lubbock TX 79414-3428
Phone: (806) 797-1173
Fax: (806) 793-2807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T3884TG | Texas |
Profile Details
| NPI number | 1578624128 |
|---|---|
| LBN Legal business name | Hogan, Greg N |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Sep 15th, 2010 - 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 | 1578624128 | NPPES |
| Texas | MEDICAID | 093093502 |
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