Individual
WAYNE ALLEN HOGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3701 E CENTER ST, WARSAW, IN 46582
(574) 269-2469
(574) 269-3369
Mailing address
3701 E CENTER ST, WARSAW, IN 46582
(574) 269-2469
(574) 269-3369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001882
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186840
ANTHEM BCBS
IN
Enumeration date
04/12/2007
Last updated
07/08/2007
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