Hofius, David Randall
Hofius, David Randall is an sole proprietor health care provider with primary practice located at 3000 Mon Health Medical Park Dr Ste 3300 , Morgantown WV 26505-1169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hofius, David Randall can be contacted via phone (304) 599-1448.Contact Information
Primary practice address
3000 Mon Health Medical Park Dr Ste 3300
Morgantown WV 26505-1169
Phone: (304) 599-1448
Fax: (304) 599-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4165 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS008334L | Pennsylvania |
Profile Details
| NPI number | 1013903285 |
|---|---|
| LBN Legal business name | Hofius, David Randall |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Apr 1st, 2024 - about last year |
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 | 1013903285 | NPPES |
| Pennsylvania | MEDICAID | 0014943080009 |
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