Provider Demographics
NPI:1275852600
Name:HOGAN CHIROPRACTIC.LLC
Entity Type:Organization
Organization Name:HOGAN CHIROPRACTIC.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-561-4421
Mailing Address - Street 1:PO BOX 240527
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-0527
Mailing Address - Country:US
Mailing Address - Phone:907-561-4421
Mailing Address - Fax:907-561-5257
Practice Address - Street 1:4141 B ST STE 407
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-5944
Practice Address - Country:US
Practice Address - Phone:907-561-4421
Practice Address - Fax:907-561-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty