Hogue, Alisa
Hogue, Alisa is an individual health care provider with primary practice located at 310 S Penn St Suite 202, Aberdeen SD 57401-4553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hogue, Alisa can be contacted via phone (605) 622-2895.Contact Information
Primary practice address
310 S Penn St Suite 202
Aberdeen SD 57401-4553
Phone: (605) 622-2895
Fax: (605) 622-2896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0277 | South Dakota |
Profile Details
| NPI number | 1093753956 |
|---|---|
| LBN Legal business name | Hogue, Alisa |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 31st, 2014 - about 12 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 | 1093753956 | NPPES |
| North Dakota | MEDICAID | 19881 | |
| North Dakota | Other | 255951 | |
| North Dakota | Other | 4992816 | |
| North Dakota | MEDICAID | 6826952 | |
| North Dakota | Other | 9237753 |
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