Hoffer, Fredric A

Hoffer, Fredric A is an individual health care provider with primary practice located at St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515, Memphis TN 38105-2794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Hoffer, Fredric A can be contacted via phone (901) 495-3006.

Contact Information

Primary practice address
St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515 Memphis TN 38105-2794
Fax: (901) 495-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 28771 Tennessee

Profile Details

NPI number 1922001031
LBN Legal business name Hoffer, Fredric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 9th, 2007 - about 18 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 1922001031 NPPES
Louisiana MEDICAID 1429686
Louisiana MEDICAID 0030708
Louisiana MEDICAID 3818383
Louisiana MEDICAID 100249677-00
Louisiana MEDICAID 7611979
Louisiana MEDICAID 64712714
Louisiana MEDICAID 2025212
Louisiana MEDICAID 00118706
Louisiana MEDICAID 0527838
Louisiana MEDICAID 82736863

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