Hoogendyk, Simon

Hoogendyk, Simon is an sole proprietor health care provider with primary practice located at 401 W Kilgore Rd , Portage MI 49002-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hoogendyk, Simon can be contacted via phone (269) 342-9550.

Contact Information

Primary practice address
401 W Kilgore Rd Portage MI 49002-1100
Phone: (269) 342-9550
Fax: (269) 342-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301029480 Michigan

Profile Details

NPI number 1821099219
LBN Legal business name Hoogendyk, Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 3rd, 2008 - about 17 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 1821099219 NPPES
Michigan Other 112058467 RAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
Michigan MEDICAID 1023841 RAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER

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