Hogan, Les Wayne

Hogan, Les Wayne is an individual health care provider with primary practice located at 707 Boll Weevil Circle , Enterprise AL 36330. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Hogan, Les Wayne can be contacted via phone (334) 393-9355.

Contact Information

Primary practice address
707 Boll Weevil Circle Enterprise AL 36330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 1892 Alabama

Profile Details

NPI number 1457415473
LBN Legal business name Hogan, Les Wayne
Credentials OT/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Feb 11th, 2013 - about 13 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 1457415473 NPPES
Alabama Other 515-29563 BLUE CROSS BLUE SHIELD

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