Hoffman, Susan H

Hoffman, Susan H is an sole proprietor health care provider with primary practice located at 79 Benton Way , San Luis Obispo CA 93405-1717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hoffman, Susan H can be contacted via phone (805) 440-3368.

Contact Information

Primary practice address
79 Benton Way San Luis Obispo CA 93405-1717
Phone: (805) 440-3368
Fax: (805) 481-8237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G79922 California

Profile Details

NPI number 1891790630
LBN Legal business name Hoffman, Susan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Dec 21st, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891790630 NPPES
California Other 00B799220 BLUE SHIELD OF CA PIN
California Other G79922 BLUE SHIELD OF CA PIN
California MEDICAID 00G799220 BLUE SHIELD OF CA PIN

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