Hofeditz, Tracy S
Hofeditz, Tracy S is an sole proprietor health care provider with primary practice located at 325 S Teller Street Suite 250, Lakewood CO 80226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hofeditz, Tracy S can be contacted via phone (303) 232-8383.Contact Information
Primary practice address
325 S Teller Street Suite 250
Lakewood CO 80226
Phone: (303) 232-8383
Fax: (303) 232-8207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29068 | Colorado |
Profile Details
| NPI number | 1194722561 |
|---|---|
| LBN Legal business name | Hofeditz, Tracy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Apr 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194722561 | NPPES |
| Colorado | MEDICAID | 01290683 |
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