Hoeksema, Carol L

Hoeksema, Carol L is an individual health care provider with primary practice located at 9631 269Th St Nw , Stanwood WA 98292-8071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hoeksema, Carol L can be contacted via phone (360) 629-1600.

Contact Information

Primary practice address
9631 269Th St Nw Stanwood WA 98292-8071
Fax: (360) 428-6485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00022916 Washington

Profile Details

NPI number 1467441063
LBN Legal business name Hoeksema, Carol L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Nov 15th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467441063 NPPES
Washington MEDICAID 1016914

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