Provider Demographics
NPI:1881146678
Name:HOGSETT, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HOGSETT
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 1:281 E MAIN ST
Mailing Address - Street 2:UNIT 5A
Mailing Address - City:CLARKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45113-8304
Mailing Address - Country:US
Mailing Address - Phone:937-424-6959
Mailing Address - Fax:
Practice Address - Street 1:281 E MAIN ST
Practice Address - Street 2:UNIT 5A
Practice Address - City:CLARKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45113-8304
Practice Address - Country:US
Practice Address - Phone:937-424-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer