Hogan, Michael Brian

Hogan, Michael Brian is an individual health care provider with primary practice located at 147 Reynoir St Ste 205 , Biloxi MS 39530-4121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Hogan, Michael Brian can be contacted via phone (228) 436-1225.

Contact Information

Primary practice address
147 Reynoir St Ste 205 Biloxi MS 39530-4121
Fax: (228) 436-1691
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056020A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 21897 Mississippi

Profile Details

NPI number 1982691531
LBN Legal business name Hogan, Michael Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Oct 15th, 2018 - about 6 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 1982691531 NPPES
Mississippi MEDICAID 08885816

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