Hofstetter, Mark
Hofstetter, Mark is an individual health care provider with primary practice located at 1224 Augusta West Pkwy , Augusta GA 30909-6582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hofstetter, Mark can be contacted via phone (706) 922-0191.Contact Information
Primary practice address
1224 Augusta West Pkwy
Augusta GA 30909-6582
Phone: (706) 922-0191
Fax: (706) 922-0192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 067643 | Georgia |
Profile Details
NPI number | 1437158979 |
---|---|
LBN Legal business name | Hofstetter, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2005 |
Last updated | Jan 21st, 2014 - about 11 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 | 1437158979 | NPPES |
South Carolina | MEDICAID | GA1300 | |
South Carolina | MEDICAID | 003123605A | |
South Carolina | Other | 52590314 |
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