Altenhofen, Dean Edmund

Altenhofen, Dean Edmund is an sole proprietor health care provider with primary practice located at 6110 N Davis Hwy , Pensacola FL 32504-6950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Altenhofen, Dean Edmund can be contacted via phone (850) 475-0902.

Contact Information

Primary practice address
6110 N Davis Hwy Pensacola FL 32504-6950
Phone: (850) 475-0902
Fax: (850) 475-0908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME46652 Florida

Profile Details

NPI number 1578540027
LBN Legal business name Altenhofen, Dean Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Jun 20th, 2018 - about 6 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 1578540027 NPPES
Florida Other 02245 BLUE CHOICE
Florida Other 047401100 BLUE CHOICE
Florida Other 047401100 BLUE CHOICE
Florida Other 59146654 BLUE CHOICE
Florida Other 02245 BLUE CHOICE
Florida Other 02245 BLUE CHOICE
Florida Other 593428041 BLUE CHOICE
Florida MEDICAID 047401100 BLUE CHOICE
Florida Other 2/593428041/00001 BLUE CHOICE
Florida Other 02245 BLUE CHOICE
Florida Other 02245 BLUE CHOICE
Florida Other 051041 BLUE CHOICE
Florida Other 593428041 BLUE CHOICE
Florida Other 02245 BLUE CHOICE
Florida Other 047401100 BLUE CHOICE

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