Hogarty, Thomas Joseph

Hogarty, Thomas Joseph is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Hogarty, Thomas Joseph can be contacted via phone (307) 752-7546.

Contact Information

Primary practice address
3111 Gundersen Dr Onalaska WI 54650-8447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2751A Wyoming
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D0067132 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 19597-20 Wisconsin

Profile Details

NPI number 1790761682
LBN Legal business name Hogarty, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Feb 27th, 2013 - about 11 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 1790761682 NPPES
Montana MEDICAID 74659
Montana MEDICAID 101611300
Montana Other 756071235

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