Hofacker, Todd K

Hofacker, Todd K is an individual health care provider with primary practice located at 1430 Columbus Ave , Washington Court House OH 43160-1703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hofacker, Todd K can be contacted via phone (614) 523-2266.

Contact Information

Primary practice address
1430 Columbus Ave Washington Court House OH 43160-1703
Phone: (614) 523-2266
Fax: (614) 523-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN167984 Ohio

Profile Details

NPI number 1609868587
LBN Legal business name Hofacker, Todd K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609868587 NPPES
Ohio MEDICAID 0970516

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