Hogge, Mark Wayne
Hogge, Mark Wayne is an sole proprietor health care provider with primary practice located at 796 Fairmount Ave # We , Jamestown NY 14701-2547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hogge, Mark Wayne can be contacted via phone (716) 664-9731.Contact Information
Primary practice address
796 Fairmount Ave # We
Jamestown NY 14701-2547
Phone: (716) 664-9731
Fax: (716) 664-9160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J1461 | Texas |
Profile Details
| NPI number | 1942258967 |
|---|---|
| LBN Legal business name | Hogge, Mark Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1942258967 | NPPES |
| Texas | MEDICAID | 128608002 |
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