Hagenbucher, Jacob Russell

Hagenbucher, Jacob Russell is an individual health care provider with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hagenbucher, Jacob Russell can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1211 Fish Hatchery Rd Madison WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 283-7338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP1188152 Oregon

Profile Details

NPI number 1275927576
LBN Legal business name Hagenbucher, Jacob Russell
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2015
Last updated May 24th, 2022 - about 3 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 1275927576 NPPES
Wisconsin MEDICAID 1275927576

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