Hogan, Rachael R

Hogan, Rachael R is an individual health care provider with primary practice located at 17395 Reservation Rd , La Conner WA 98257-8802. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hogan, Rachael R can be contacted via phone (360) 466-3900.

Contact Information

Primary practice address
17395 Reservation Rd La Conner WA 98257-8802
Phone: (360) 466-3900
Fax: (360) 466-7301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009338 Washington

Profile Details

NPI number 1407926413
LBN Legal business name Hogan, Rachael R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 30th, 2013 - about 12 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 1407926413 NPPES
Washington Other 0174706 LABOR AND INDUSTRIES
Washington MEDICAID 5044490 LABOR AND INDUSTRIES

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