Provider Demographics
NPI:1336133537
Name:VOGEL, HANS P (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:P
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 EXECUTIVE PL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5154
Mailing Address - Country:US
Mailing Address - Phone:910-485-8711
Mailing Address - Fax:910-485-7953
Practice Address - Street 1:559 EXECUTIVE PL
Practice Address - Street 2:SUITE 202
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5154
Practice Address - Country:US
Practice Address - Phone:910-485-8711
Practice Address - Fax:910-485-7953
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27747174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA97937Medicare UPIN