Hogle, Justin Warren
Hogle, Justin Warren is an sole proprietor health care provider with primary practice located at 2500 Chandler Rd , Muskogee OK 74403-5003. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hogle, Justin Warren can be contacted via phone (918) 683-3937.Contact Information
Primary practice address
2500 Chandler Rd
Muskogee OK 74403-5003
Phone: (918) 683-3937
Fax: (918) 683-3945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2453 | Oklahoma |
Profile Details
| NPI number | 1861679300 |
|---|---|
| LBN Legal business name | Hogle, Justin Warren |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | May 27th, 2008 - about 17 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 | 1861679300 | NPPES |
| Oklahoma | MEDICAID | 200066920A |
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