Hogan, Penny Sue
Hogan, Penny Sue is an sole proprietor health care provider with primary practice located at 1768 W Park Sq , Xenia OH 45385-2667. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hogan, Penny Sue can be contacted via phone (937) 372-3054.Contact Information
Primary practice address
1768 W Park Sq
Xenia OH 45385-2667
Phone: (937) 372-3054
Fax: (937) 372-3084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35071125H | Ohio |
Profile Details
| NPI number | 1114013463 |
|---|---|
| LBN Legal business name | Hogan, Penny Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Nov 12th, 2012 - about 13 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 | 1114013463 | NPPES |
| Ohio | MEDICAID | 2150032 |
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