Hofer, Darrell R

Hofer, Darrell R is an individual health care provider with primary practice located at 3807 S Madison St , Muncie IN 47302-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hofer, Darrell R can be contacted via phone (765) 751-3300.

Contact Information

Primary practice address
3807 S Madison St Muncie IN 47302-5758
Phone: (765) 751-3300
Fax: (765) 751-3313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01027075A Indiana

Profile Details

NPI number 1437124450
LBN Legal business name Hofer, Darrell R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 1st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437124450 NPPES
Indiana Other 000000343302 ANTHEM BCBS
Indiana MEDICAID 100347440 ANTHEM BCBS
Indiana MEDICAID 100347440A ANTHEM BCBS

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