Provider Demographics
NPI:1952467151
Name:HOGLE, FRANK MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MATTHEW
Last Name:HOGLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:F.
Other - Middle Name:MATT
Other - Last Name:HOGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:10431 E IRWIN CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-7723
Mailing Address - Country:US
Mailing Address - Phone:480-370-9855
Mailing Address - Fax:480-892-6690
Practice Address - Street 1:5110 E SOUTHERN AVE
Practice Address - Street 2:STE 110
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2790
Practice Address - Country:US
Practice Address - Phone:480-545-7988
Practice Address - Fax:480-892-6690
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU52739Medicare UPIN
AZAZ06132Medicare ID - Type UnspecifiedPROVIDER #