Individual
JORDAN E HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1801 N SENATE AVE STE 535, INDIANAPOLIS, IN 46202
(317) 944-9400
(317) 963-1955
Mailing address
30 N BOSART AVE, INDIANAPOLIS, IN 46201-3728
(126) 031-2641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001802A
IN
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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