Hofstad, Kimberly
Hofstad, Kimberly is an sole proprietor health care provider with primary practice located at 2403 Foxtail Ln N Apt Suite , Mandan ND 58554-8206. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Hofstad, Kimberly can be contacted via phone (701) 202-4783.Contact Information
Primary practice address
2403 Foxtail Ln N Apt Suite
Mandan ND 58554-8206
Phone: (701) 202-4783
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 1452330 | South Dakota |
Profile Details
| NPI number | 1093315640 |
|---|---|
| LBN Legal business name | Hofstad, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2020 |
| Last updated | Oct 31st, 2020 - about 4 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 | 1093315640 | NPPES |
| North Dakota | MEDICAID | 1452330 |
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