Provider Demographics
NPI:1396427944
Name:HOEFS, SUSAN CLARE (CCSH, RPSGT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:CLARE
Last Name:HOEFS
Suffix:
Gender:F
Credentials:CCSH, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 SPRING PARK CT
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4855
Mailing Address - Country:US
Mailing Address - Phone:920-988-8132
Mailing Address - Fax:
Practice Address - Street 1:1849 SPRING PARK CT
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-4855
Practice Address - Country:US
Practice Address - Phone:920-988-8132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator