Hoffman, John R
Hoffman, John R is an individual health care provider with primary practice located at 1701 W. Curtis Rd. , Urbana IL 61822-9678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hoffman, John R can be contacted via phone (217) 365-6201.Contact Information
Primary practice address
1701 W. Curtis Rd.
Urbana IL 61822-9678
Phone: (217) 365-6201
Fax: (217) 326-4003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01047441A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036130371 | Illinois |
Profile Details
| NPI number | 1760480396 |
|---|---|
| LBN Legal business name | Hoffman, John R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Oct 8th, 2015 - about 9 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 | 1760480396 | NPPES |
| Indiana | MEDICAID | 200225170A |
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