Hogan, Jason Lee

Hogan, Jason Lee is an individual health care provider with primary practice located at 4530 Northern Sky Dr , Bismarck ND 58503. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hogan, Jason Lee can be contacted via phone (701) 751-6336.

Contact Information

Primary practice address
4530 Northern Sky Dr Bismarck ND 58503
Phone: (701) 751-6336
Fax: (701) 751-6337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1327 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7874 Minnesota

Profile Details

NPI number 1912031022
LBN Legal business name Hogan, Jason Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 3rd, 2019 - about 7 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 1912031022 NPPES
North Dakota MEDICAID 1464160
North Dakota Other 24625
North Dakota MEDICAID 861347800

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