Hoffman, John Douglas
Hoffman, John Douglas is an sole proprietor health care provider with primary practice located at 9800 Wellington Way , Fort Smith AR 72908-9057. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hoffman, John Douglas can be contacted via phone (479) 646-8444.Contact Information
Primary practice address
9800 Wellington Way
Fort Smith AR 72908-9057
Phone: (479) 646-8444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R-2494 | Arkansas |
Profile Details
| NPI number | 1063650117 |
|---|---|
| LBN Legal business name | Hoffman, John Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2009 |
| Last updated | Jan 28th, 2009 - about 15 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 | 1063650117 | NPPES |
| Arkansas | MEDICAID | 105774001 | |
| Arkansas | Other | R-2494 |
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