Hogan, Joseph Gerard
Hogan, Joseph Gerard is an sole proprietor health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5522. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hogan, Joseph Gerard can be contacted via phone (505) 270-4387.Contact Information
Primary practice address
2050A 2Nd St Se
Kirtland Afb NM 87117-5522
Phone: (505) 270-4387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW0000004849 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05665 | New Mexico |
Profile Details
| NPI number | 1275560724 |
|---|---|
| LBN Legal business name | Hogan, Joseph Gerard |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Apr 5th, 2021 - about 4 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 | 1275560724 | NPPES |
| New Mexico | MEDICAID | 92127207 | |
| New Mexico | MEDICAID | 1512019 |
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