Hoekstra, Suzanne A

Hoekstra, Suzanne A is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 250, Portland ME 04102-2780. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Hoekstra, Suzanne A can be contacted via phone (207) 553-6800.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 250 Portland ME 04102-2780
Phone: (207) 553-6800
Fax: (207) 553-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9800276 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 018518 Maine

Profile Details

NPI number 1508840216
LBN Legal business name Hoekstra, Suzanne A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 6th, 2010 - about 14 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 1508840216 NPPES
North Carolina MEDICAID 891146U
North Carolina Other 1146U

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