Hovermale, Todd R

Hovermale, Todd R is an sole proprietor health care provider with primary practice located at 215 W 19Th St , Anderson IN 46016-4204. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hovermale, Todd R can be contacted via phone (765) 649-7351.

Contact Information

Primary practice address
215 W 19Th St Anderson IN 46016-4204
Phone: (765) 649-7351
Fax: (765) 649-8666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000387 Indiana

Profile Details

NPI number 1609860147
LBN Legal business name Hovermale, Todd R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Oct 14th, 2008 - about 16 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 1609860147 NPPES
Indiana Other 791480277 RAILROAD MEDICARE
Indiana MEDICAID 100136360 RAILROAD MEDICARE

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