Van Hoozen, Brian L

Van Hoozen, Brian L is an individual health care provider with primary practice located at 1505 Mill St , New London WI 54961-2187. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Van Hoozen, Brian L can be contacted via phone (920) 982-7900.

Contact Information

Primary practice address
1505 Mill St New London WI 54961-2187
Phone: (920) 982-7900
Fax: (920) 982-7995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32699 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32699 Wisconsin

Profile Details

NPI number 1821170986
LBN Legal business name Van Hoozen, Brian L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Sep 20th, 2021 - about 3 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 1821170986 NPPES
Wisconsin MEDICAID 11014110
Wisconsin Other 390848401050
Wisconsin MEDICAID 30054700

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