Hogan, Shari M

Hogan, Shari M is an individual health care provider with primary practice located at 513 Washington Street , Watertown NY 13601-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hogan, Shari M can be contacted via phone (315) 788-2211.

Contact Information

Primary practice address
513 Washington Street Watertown NY 13601-4001
Fax: (315) 788-0956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 240376 New York

Profile Details

NPI number 1245302777
LBN Legal business name Hogan, Shari M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Oct 4th, 2011 - about 11 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 1245302777 NPPES
New York MEDICAID 02808868

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