Hogan, Robert M

Hogan, Robert M is an individual health care provider with primary practice located at 1201 S 157Th St , Omaha NE 68130-4910. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hogan, Robert M can be contacted via phone (402) 697-0765.

Contact Information

Primary practice address
1201 S 157Th St Omaha NE 68130-4910
Phone: (402) 697-0765
Fax: (402) 502-9754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5515 Nebraska

Profile Details

NPI number 1437130168
LBN Legal business name Hogan, Robert M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 16 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 1437130168 NPPES
Nebraska MEDICAID 47070781000

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