Hoffer, Fredric A
Hoffer, Fredric A is an individual health care provider with primary practice located at St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515, Memphis TN 38105-2794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Hoffer, Fredric A can be contacted via phone (901) 495-3006.Contact Information
Primary practice address
St. Jude Children'S Research Hospital 332 N Lauderdale St., Ms 0515
Memphis TN 38105-2794
Phone: (901) 495-3006
Fax: (901) 495-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 28771 | Tennessee |
Profile Details
| NPI number | 1922001031 |
|---|---|
| LBN Legal business name | Hoffer, Fredric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1922001031 | NPPES |
| Louisiana | MEDICAID | 1429686 | |
| Louisiana | MEDICAID | 0030708 | |
| Louisiana | MEDICAID | 3818383 | |
| Louisiana | MEDICAID | 100249677-00 | |
| Louisiana | MEDICAID | 7611979 | |
| Louisiana | MEDICAID | 64712714 | |
| Louisiana | MEDICAID | 2025212 | |
| Louisiana | MEDICAID | 00118706 | |
| Louisiana | MEDICAID | 0527838 | |
| Louisiana | MEDICAID | 82736863 |
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