Provider Demographics
NPI:1669555280
Name:HOGSED, JAMES HOWARD (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HOWARD
Last Name:HOGSED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 PALISADES PARK CT
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-7132
Mailing Address - Country:US
Mailing Address - Phone:239-274-0888
Mailing Address - Fax:239-274-0890
Practice Address - Street 1:6831 PALISADES PARK CT
Practice Address - Street 2:SUITE # 2
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7132
Practice Address - Country:US
Practice Address - Phone:239-274-0888
Practice Address - Fax:239-274-0890
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
00055490OtherPROVIDER NUMBER
T13868Medicare UPIN