Hoffman, Kurt M.
Hoffman, Kurt M. is an sole proprietor health care provider with primary practice located at 130 W Main St Suite L, Fort Wayne IN 46802-1712. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hoffman, Kurt M. can be contacted via phone (260) 418-1816.Contact Information
Primary practice address
130 W Main St Suite L
Fort Wayne IN 46802-1712
Phone: (260) 418-1816
Fax: (877) 418-1816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041663A | Indiana |
Profile Details
| NPI number | 1477522282 |
|---|---|
| LBN Legal business name | Hoffman, Kurt M. |
| Credentials | PSY.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Feb 15th, 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 | 1477522282 | NPPES |
| Indiana | MEDICAID | 200802480 |
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