Hogan, Irene
Hogan, Irene is an sole proprietor health care provider with primary practice located at 6353 Boone Rd , Traverse City MI 49685-7951. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Hogan, Irene can be contacted via phone (650) 355-1475.Contact Information
Primary practice address
6353 Boone Rd
Traverse City MI 49685-7951
Phone: (650) 355-1475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902017075 | Michigan |
| Dental Providers / Dental Hygienist | 124Q00000X | HAP149 | California |
| Dental Providers / Dental Hygienist | 124Q00000X | 17831 | California |
Profile Details
| NPI number | 1144764804 |
|---|---|
| LBN Legal business name | Hogan, Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2016 |
| Last updated | Dec 14th, 2016 - about 10 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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