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BRIAN VAN HOOZEN DO SC NPI 1851563472


NPI Information

NPI: 1851563472
Provider Name: BRIAN VAN HOOZEN DO SC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1505 MILL ST
NEW LONDON, WI
ZIP 54961
Phone: (920) 982-7900
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BRIAN VAN HOOZEN DO SC is a clinic center in New London, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRIAN VAN HOOZEN DO SC NPI is 1851563472. The provider is registered as an organization entity type.

The provider's business location address is:

1505 MILL ST
NEW LONDON, WI
ZIP 54961-187
Phone: (920) 982-7900
Fax: (920) 982-7995

The provider's authorized official is Brian L Van Hoozen .
The authorized official title is Owner and has the following contact phone number (920) 982-7900.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center32699WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132699OTHERWISCONSINLICENSE NUMBER
230054700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.