Provider Demographics
NPI:1275966301
Name:COMPREHENSIVE NEUROLOGY & SLEEP
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY & SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOGANCAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-575-9990
Mailing Address - Street 1:PO BOX 7037
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-7037
Mailing Address - Country:US
Mailing Address - Phone:270-575-9990
Mailing Address - Fax:270-575-9950
Practice Address - Street 1:4645 VILLAGE SQUARE DR
Practice Address - Street 2:SUITE A
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7448
Practice Address - Country:US
Practice Address - Phone:270-575-9990
Practice Address - Fax:270-575-9950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32561174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty