Hoftiezer, James W

Hoftiezer, James W is an individual health care provider with primary practice located at 1900 Woodland Dr , Manitowoc WI 54220-9662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hoftiezer, James W can be contacted via phone (920) 320-6212.

Contact Information

Primary practice address
1900 Woodland Dr Manitowoc WI 54220-9662
Phone: (920) 320-6212
Fax: (920) 684-5548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 22886 Wisconsin

Profile Details

NPI number 1932217924
LBN Legal business name Hoftiezer, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 10th, 2011 - 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 1932217924 NPPES
Wisconsin MEDICAID 30307800
Wisconsin Other 3908063950002
Wisconsin Other B53650
Wisconsin Other 110080078
Wisconsin Other 7805
Wisconsin Other 100003091
Wisconsin Other 22886

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