Provider Demographics
NPI:1649821737
Name:HOGUE, CHRISTINE ANN
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:HOGUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ONEAWA ST STE A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2527
Mailing Address - Country:US
Mailing Address - Phone:808-263-4722
Mailing Address - Fax:
Practice Address - Street 1:22 ONEAWA ST STE A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2527
Practice Address - Country:US
Practice Address - Phone:808-263-4722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2819246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other