Hogan, Jesse Allen

Hogan, Jesse Allen is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hogan, Jesse Allen can be contacted via phone (505) 722-1326.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10420331-9934 Utah

Profile Details

NPI number 1134641343
LBN Legal business name Hogan, Jesse Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Jul 10th, 2017 - about 7 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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