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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1770556755 NPPES
Ohio Other 000000541691 ANTHEM
Ohio MEDICAID 0765024 ANTHEM

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