Hoogeboom, James E

Hoogeboom, James E is an individual health care provider with primary practice located at 6290 Burton St Se , Grand Rapids MI 49546-6775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Hoogeboom, James E can be contacted via phone (616) 975-7768.

Contact Information

Primary practice address
6290 Burton St Se Grand Rapids MI 49546-6775
Phone: (616) 975-7768
Fax: (616) 975-7769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X CL0065 Nevada
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 5101008395 Michigan

Profile Details

NPI number 1164594420
LBN Legal business name Hoogeboom, James E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 25th, 2020 - about 6 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 1164594420 NPPES
Michigan MEDICAID 3346752

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