Pogue, Paul K

Pogue, Paul K is an individual health care provider with primary practice located at 550 W Virginia St , Evansville IN 47710-1614. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Pogue, Paul K can be contacted via phone (812) 425-5194.

Contact Information

Primary practice address
550 W Virginia St Evansville IN 47710-1614
Phone: (812) 425-5194
Fax: (812) 426-9984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12007722 Indiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12007722 Illinois

Profile Details

NPI number 1609923804
LBN Legal business name Pogue, Paul K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Sep 10th, 2015 - about 9 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 1609923804 NPPES
Indiana MEDICAID 100246120

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