Hoge, Edward Russell
Hoge, Edward Russell is an individual health care provider with primary practice located at 105 W Blackwell St , Tullahoma TN 37388-3555. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hoge, Edward Russell can be contacted via phone (931) 455-0654.Contact Information
Primary practice address
105 W Blackwell St
Tullahoma TN 37388-3555
Phone: (931) 455-0654
Fax: (931) 455-0669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 436 | Tennessee |
Profile Details
| NPI number | 1811961741 |
|---|---|
| LBN Legal business name | Hoge, Edward Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Feb 20th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811961741 | NPPES |
| Tennessee | MEDICAID | 3592894 |
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