Individual
MR. ETHAN FREDERICK HOGGE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
6123 LAMPLIGHTER DR, OMAHA, NE 68152-1419
(402) 594-6236
(403) 594-6236
Mailing address
6123 LAMPLIGHTER DR, OMAHA, NE 68152-1419
(402) 594-6236
(403) 594-6236
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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