Hofeldt, Mark Richard
Hofeldt, Mark Richard is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Hofeldt, Mark Richard can be contacted via phone (937) 641-3477.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1815
Phone: (937) 641-3477
Fax: (937) 641-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 35.053020 | Ohio |
Profile Details
| NPI number | 1770556755 |
|---|---|
| LBN Legal business name | Hofeldt, Mark Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Dec 30th, 2020 - about 4 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 | 1770556755 | NPPES |
| Ohio | Other | 000000541691 | ANTHEM |
| Ohio | MEDICAID | 0765024 | ANTHEM |
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