Hochstadter, Bruce E
Hochstadter, Bruce E is an individual health care provider with primary practice located at 444 N Northwest Nwy Suite 325, Park Ridge IL 60068. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hochstadter, Bruce E can be contacted via phone (847) 296-6100.Contact Information
Primary practice address
444 N Northwest Nwy Suite 325
Park Ridge IL 60068
Phone: (847) 296-6100
Fax: (847) 296-8706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021000812 19013612 | Illinois |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 137000100 | Illinois |
Profile Details
| NPI number | 1578666137 |
|---|---|
| LBN Legal business name | Hochstadter, Bruce E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 11th, 2008 - about 16 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 | 1578666137 | NPPES |
| Other | 0080004915 | BCBS OF IL GROUP # |
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