1063431955 NPI number — DR. EDWARD WILLIAM HOGLUND D.C.

Table of content: DR. EDWARD WILLIAM HOGLUND D.C. (NPI 1063431955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063431955 NPI number — DR. EDWARD WILLIAM HOGLUND D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOGLUND
Provider First Name:
EDWARD
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063431955
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1395 N. COURTENAY PKWY.
Provider Second Line Business Mailing Address:
#205
Provider Business Mailing Address City Name:
MERRITT ISLAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32953
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-452-5826
Provider Business Mailing Address Fax Number:
321-452-5750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1395 N. COURTENAY PKWY.
Provider Second Line Business Practice Location Address:
#205
Provider Business Practice Location Address City Name:
MERRITT ISLAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-452-5826
Provider Business Practice Location Address Fax Number:
321-452-5750
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NX0800X , with the licence number:  CHOOO5125 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CHOOO5125 . This is a "LICENSE NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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