Brian Van Hoozen Do Sc | |
1505 Mill St New London WI 54961-2187 | |
(920) 982-7900 | |
(920) 982-7995 |
Full Name | Brian Van Hoozen Do Sc |
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Speciality | Clinic/Center |
Location | 1505 Mill St, New London, Wisconsin |
Authorized Official Name and Position | Brian L Van Hoozen (OWNER) |
Authorized Official Contact | 9209827900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brian Van Hoozen Do Sc Po Box 96 New London WI 54961-0096 Ph: (920) 982-7900 | Brian Van Hoozen Do Sc 1505 Mill St New London WI 54961-2187 Ph: (920) 982-7900 |
NPI Number | 1851563472 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 5890969679 |
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Medicare Enrollment ID | O20111111000499 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851563472 | NPI | - | NPPES |
32699 | Other | WI | LICENSE NUMBER |
30054700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 32699 (Wisconsin) | Primary |
Provider Name | Brian L Vanhoozen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821170986 PECOS PAC ID: 8729170618 Enrollment ID: I20070823000275 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Algoma St, New London, WI 54961 Phone: 920-982-8300 | |
Brian L Van Hoozen, D.o. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 | |
Integrity Medical Group, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 N. Shawano St, Ste A, New London, WI 54961 Phone: 920-531-1100 Fax: 920-531-8310 | |
Thedacare Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-830-5900 Fax: 920-830-5910 |