Hoftiezer, Scott Allen
Hoftiezer, Scott Allen is an sole proprietor health care provider with primary practice located at 1 W Lincoln St Dci Health Service Unit, Waupun WI 53963-1949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hoftiezer, Scott Allen can be contacted via phone (920) 324-6482.Contact Information
Primary practice address
1 W Lincoln St Dci Health Service Unit
Waupun WI 53963-1949
Phone: (920) 324-6482
Fax: (920) 324-6288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26625 | Wisconsin |
Profile Details
| NPI number | 1841344272 |
|---|---|
| LBN Legal business name | Hoftiezer, Scott Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1841344272 | NPPES |
| Wisconsin | MEDICAID | 30765600 |
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