Hoekstra, Gregory L
Hoekstra, Gregory L is an individual health care provider with primary practice located at 1015 S Hackett Rd , Waterloo IA 50701-3500. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hoekstra, Gregory L can be contacted via phone (319) 274-1000.Contact Information
Primary practice address
1015 S Hackett Rd
Waterloo IA 50701-3500
Phone: (319) 274-1000
Fax: (319) 292-6526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01585 | Iowa |
Profile Details
| NPI number | 1710091251 |
|---|---|
| LBN Legal business name | Hoekstra, Gregory L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 10th, 2012 - about 12 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 | 1710091251 | NPPES |
| Iowa | MEDICAID | 1710091251 | |
| Iowa | Other | P00758400 | |
| Iowa | MEDICAID | 1097592 |
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