Coogan, Michael V

Coogan, Michael V is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as his primary health care specialty. Coogan, Michael V can be contacted via phone (608) 756-6000.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548-2940
Phone: (608) 756-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 036-089571 Illinois
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 36637 Wisconsin

Profile Details

NPI number 1033207105
LBN Legal business name Coogan, Michael V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033207105 NPPES
Wisconsin MEDICAID 32122200
Wisconsin MEDICAID 036089571 1

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