Hoekstra, Timothy Charles

Hoekstra, Timothy Charles is an individual health care provider with primary practice located at 1908 N 14Th St Ste 203 , Ponca City OK 74601-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hoekstra, Timothy Charles can be contacted via phone (580) 718-4501.

Contact Information

Primary practice address
1908 N 14Th St Ste 203 Ponca City OK 74601-2039
Phone: (580) 718-4501
Fax: (580) 718-4581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301043481 Michigan

Profile Details

NPI number 1902862600
LBN Legal business name Hoekstra, Timothy Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jun 28th, 2021 - about 4 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 1902862600 NPPES
Michigan MEDICAID 1420814
Michigan Other 160002638
Michigan Other 160002638

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