Kooistra, Hessel
Kooistra, Hessel is an sole proprietor health care provider with primary practice located at 10971 Rocky Creek Rd , Fayetteville AR 72701-0614. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kooistra, Hessel can be contacted via phone (479) 841-2736.Contact Information
Primary practice address
10971 Rocky Creek Rd
Fayetteville AR 72701-0614
Phone: (479) 841-2736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E-2570 | Arkansas |
Profile Details
| NPI number | 1053754622 |
|---|---|
| LBN Legal business name | Kooistra, Hessel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2013 |
| Last updated | Apr 12th, 2013 - about 13 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 | 1053754622 | NPPES |
| Texas | MEDICAID | P000516J3 |
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