Hogan, Timothy M

Hogan, Timothy M is an individual health care provider with primary practice located at 1400 Jefferson Rd , Northfield MN 55057-3081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hogan, Timothy M can be contacted via phone (507) 663-9000.

Contact Information

Primary practice address
1400 Jefferson Rd Northfield MN 55057-3081
Phone: (507) 663-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27874 Minnesota

Profile Details

NPI number 1497716468
LBN Legal business name Hogan, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 7th, 2011 - about 13 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 1497716468 NPPES
Minnesota MEDICAID 120870500

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