Huizenga, Roger E
Huizenga, Roger E is an individual health care provider with primary practice located at 1905 Huebbe Pkwy , Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Huizenga, Roger E can be contacted via phone (608) 364-2293.Contact Information
Primary practice address
1905 Huebbe Pkwy
Beloit WI 53511-1842
Phone: (608) 364-2293
Fax: (608) 364-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 19381020 | Wisconsin |
Profile Details
| NPI number | 1427165968 |
|---|---|
| LBN Legal business name | Huizenga, Roger E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Aug 21st, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427165968 | NPPES |
| Other | 10642 | DEAN HEALTH PLAN HMO | |
| MEDICAID | 3027000 | DEAN HEALTH PLAN HMO |
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