Hogan, Mary Beth

Hogan, Mary Beth is an sole proprietor health care provider with primary practice located at 1600 Medical Center Dr Ste 3500 , Huntington WV 25701-3655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Hogan, Mary Beth can be contacted via phone (304) 691-1300.

Contact Information

Primary practice address
1600 Medical Center Dr Ste 3500 Huntington WV 25701-3655
Phone: (304) 691-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 12265 Nevada
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 18282 West Virginia

Profile Details

NPI number 1174603104
LBN Legal business name Hogan, Mary Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174603104 NPPES
West Virginia MEDICAID 0109785000

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