Hogan, Michael Emerson
Hogan, Michael Emerson is an individual health care provider with primary practice located at 4001 Dutchmans Ln , Louisville KY 40207-4714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Hogan, Michael Emerson can be contacted via phone (502) 447-8786.Contact Information
Primary practice address
4001 Dutchmans Ln
Louisville KY 40207-4714
Phone: (502) 447-8786
Fax: (502) 447-8623
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 51016 | Tennessee |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 079742 | Georgia |
Profile Details
NPI number | 1104183235 |
---|---|
LBN Legal business name | Hogan, Michael Emerson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2012 |
Last updated | Sep 21st, 2023 - about last year |
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 | 1104183235 | NPPES |
Indiana | MEDICAID | 300030463 | |
Indiana | MEDICAID | 7100474780 |
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