Hogue, Philip Fly
Hogue, Philip Fly is an individual health care provider with primary practice located at 3400 Highway 78 E , Jasper AL 35501-8907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hogue, Philip Fly can be contacted via phone (205) 387-4741.Contact Information
Primary practice address
3400 Highway 78 E
Jasper AL 35501-8907
Phone: (205) 387-4741
Fax: (205) 221-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1-030499 | Alabama |
Profile Details
| NPI number | 1689633208 |
|---|---|
| LBN Legal business name | Hogue, Philip Fly |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 9th, 2007 - about 18 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 | 1689633208 | NPPES |
| Alabama | MEDICAID | 00940873 |
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