Hogan, Rebecca Joyce

Hogan, Rebecca Joyce is an individual health care provider with primary practice located at 7010 E Chauncey Ln Suite 225, Phoenix AZ 85054-3117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hogan, Rebecca Joyce can be contacted via phone (480) 585-5200.

Contact Information

Primary practice address
7010 E Chauncey Ln Suite 225 Phoenix AZ 85054-3117
Phone: (480) 585-5200
Fax: (480) 585-5233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18543 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP4317 Arizona

Profile Details

NPI number 1710136809
LBN Legal business name Hogan, Rebecca Joyce
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Apr 20th, 2012 - about 14 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 1710136809 NPPES
Arizona MEDICAID 671513

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