Hoort, Glenn A

Hoort, Glenn A is an sole proprietor health care provider with primary practice located at 854 S. Washington Avenue Suite 430, Holland MI 49423-7141. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Hoort, Glenn A can be contacted via phone (616) 392-6117.

Contact Information

Primary practice address
854 S. Washington Avenue Suite 430 Holland MI 49423-7141
Phone: (616) 392-6117
Fax: (616) 392-1920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000884 Michigan
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5901000884 Michigan

Profile Details

NPI number 1629138607
LBN Legal business name Hoort, Glenn A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Feb 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629138607 NPPES
Michigan Other 485705000 BLUE CROSS BLUE SHEILD
Michigan MEDICAID 2115198 BLUE CROSS BLUE SHEILD
Michigan Other 480000546 BLUE CROSS BLUE SHEILD
Michigan Other 4857005000 BLUE CROSS BLUE SHEILD

Popular Providers