Hogan, Willard Joseph

Hogan, Willard Joseph is an individual health care provider with primary practice located at 12020 N Newport Hwy , Spokane WA 99218-1655. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hogan, Willard Joseph can be contacted via phone (509) 444-0004.

Contact Information

Primary practice address
12020 N Newport Hwy Spokane WA 99218-1655
Fax: (866) 894-5888
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3485 Washington

Profile Details

NPI number 1477525780
LBN Legal business name Hogan, Willard Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 13th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477525780 NPPES
Washington Other G8908268 MEDICARE PTAN

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