Hogan, Jeremy Lee
Hogan, Jeremy Lee is an individual health care provider with primary practice located at 5525 Grossmont Center Dr , La Mesa CA 91942-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hogan, Jeremy Lee can be contacted via phone (619) 644-6750.Contact Information
Primary practice address
5525 Grossmont Center Dr
La Mesa CA 91942-3009
Phone: (619) 644-6750
Fax: (619) 644-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A77107 | California |
Profile Details
| NPI number | 1508876905 |
|---|---|
| LBN Legal business name | Hogan, Jeremy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jun 19th, 2013 - about 11 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 | 1508876905 | NPPES |
| California | MEDICAID | 00A771080 |
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