Hoffman, Daniel
Hoffman, Daniel is an individual health care provider with primary practice located at 2 Good Samaritan Way Suite 420, Mount Vernon IL 62864-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hoffman, Daniel can be contacted via phone (618) 899-4000.Contact Information
Primary practice address
2 Good Samaritan Way Suite 420
Mount Vernon IL 62864-2408
Phone: (618) 899-4000
Fax: (618) 899-4790
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036059053 | Illinois |
Profile Details
NPI number | 1134147432 |
---|---|
LBN Legal business name | Hoffman, Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Jan 21st, 2013 - about 11 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 | 1134147432 | NPPES |
Illinois | Other | CE9335 | RR GROUP |
Illinois | Other | 04108659 | RR GROUP |
Illinois | Other | 010059220 | RR GROUP |
Illinois | MEDICAID | 036059053 | RR GROUP |
Illinois | Other | 207988 | RR GROUP |
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