Provider Demographics
NPI:1518010347
Name:WESTHOFF, NORMAN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:PAUL
Last Name:WESTHOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 N DUTTON AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4607
Mailing Address - Country:US
Mailing Address - Phone:707-543-8360
Mailing Address - Fax:707-543-8361
Practice Address - Street 1:1221 N DUTTON AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-4607
Practice Address - Country:US
Practice Address - Phone:707-543-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG870562083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACQ912VMedicare UPIN
CACE787AMedicare PIN
CACQ912YMedicare UPIN
CACQ912ZMedicare UPIN
CACQ912WMedicare UPIN
CACQ912UMedicare UPIN
CACE787CMedicare PIN
CACE787BMedicare PIN
CACQ912SMedicare UPIN
CAZZZ07334ZMedicare PIN
CACE787EMedicare PIN
CACE787GMedicare PIN
CACE787DMedicare PIN
CACE787FMedicare PIN
CACQ912XMedicare UPIN
CACQ912TMedicare UPIN