Provider Demographics
NPI:1699273300
Name:VOGEL, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:VOGEL
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 1:8158 COUNTY HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:MC CUTCHENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44844-9706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8158 COUNTY HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:MC CUTCHENVILLE
Practice Address - State:OH
Practice Address - Zip Code:44844-9706
Practice Address - Country:US
Practice Address - Phone:419-981-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty