Hoogendoorn, Kyle E
Hoogendoorn, Kyle E is an individual health care provider with primary practice located at 6048 Lake Worth Blvd , Fort Worth TX 76135-3706. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hoogendoorn, Kyle E can be contacted via phone (817) 336-1189.Contact Information
Primary practice address
6048 Lake Worth Blvd
Fort Worth TX 76135-3706
Phone: (817) 336-1189
Fax: (817) 698-8281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1844 | Texas |
Profile Details
NPI number | 1629135157 |
---|---|
LBN Legal business name | Hoogendoorn, Kyle E |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2007 |
Last updated | Nov 3rd, 2015 - about 9 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 | 1629135157 | NPPES |
Texas | MEDICAID | 198413002 | |
Texas | MEDICAID | 198413003 | |
Texas | MEDICAID | 198413001 | |
Texas | MEDICAID | 198413004 |
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