Hoffman, Charles Russell

Hoffman, Charles Russell is an individual health care provider with primary practice located at 4003 Kresge Way Suite 400, Louisville KY 40207-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Hoffman, Charles Russell can be contacted via phone (502) 895-4263.

Contact Information

Primary practice address
4003 Kresge Way Suite 400 Louisville KY 40207-4652
Phone: (502) 895-4263
Fax: (502) 899-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 20669 Kentucky

Profile Details

NPI number 1114911039
LBN Legal business name Hoffman, Charles Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114911039 NPPES
Kentucky Other 000000047114 ANTHEM BLUE PLANS
Kentucky Other 1114911039 ANTHEM BLUE PLANS
Kentucky Other 6109684127212 ANTHEM BLUE PLANS
Kentucky MEDICAID 64206691 ANTHEM BLUE PLANS
Kentucky MEDICAID 50005575 ANTHEM BLUE PLANS

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