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Contact Information

GLENN A HOORT, DPM
854 S. WASHINGTON AVENUE
SUITE 430
HOLLAND, MI49423-7141
 Phone: 616-392-6117
 Fax: 616-392-1920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GLENN A HOORT · (Male)

NPI Number 1629138607
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/11/2006
Last updated 02/25/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5901000884
  • MI Medicaid 2115198
  • MI Other 480000546 ADMINISTAR
  • MI Other 485705000 BLUE CROSS BLUE SHEILD
  • MI Other 4857005000 BLUECROSSBLUESHIELDMI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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