Hoffoss, Theresa M
Hoffoss, Theresa M is an sole proprietor health care provider with primary practice located at 2603 White Bear Ave N , Maplewood MN 55109-5110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Hoffoss, Theresa M can be contacted via phone (651) 600-3035.Contact Information
Primary practice address
2603 White Bear Ave N
Maplewood MN 55109-5110
Phone: (651) 600-3035
Fax: (651) 348-8783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | R161997-9 | Minnesota |
Profile Details
| NPI number | 1174593990 |
|---|---|
| LBN Legal business name | Hoffoss, Theresa M |
| Credentials | WHCNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 15th, 2018 - about 8 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 | 1174593990 | NPPES |
| Minnesota | MEDICAID | 966496300 |
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