Hogan, Michael Patrick

Hogan, Michael Patrick is an sole proprietor health care provider with primary practice located at 612 Tenney Mountain Hwy Unit 3 Tenney Mtn Plaza, Plymouth NH 03264-3155. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hogan, Michael Patrick can be contacted via phone (603) 536-7777.

Contact Information

Primary practice address
612 Tenney Mountain Hwy Unit 3 Tenney Mtn Plaza Plymouth NH 03264-3155
Phone: (603) 536-7777
Fax: (603) 536-7787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3075 New Hampshire

Profile Details

NPI number 1194776070
LBN Legal business name Hogan, Michael Patrick
Credentials PT, MPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Mar 21st, 2008 - about 16 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 1194776070 NPPES
New Hampshire Other 08Y008932NH01 ANTHEM BCBS
New Hampshire MEDICAID 30394799 ANTHEM BCBS

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