Hogendorn, Courtney T.

Hogendorn, Courtney T. is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hogendorn, Courtney T. can be contacted via phone (608) 263-8060.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-8060
Fax: (608) 263-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 40950-020 Wisconsin

Profile Details

NPI number 1265404453
LBN Legal business name Hogendorn, Courtney T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 29th, 2021 - 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 1265404453 NPPES
Wisconsin MEDICAID 32611100

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