Hoffman, Daniel

Hoffman, Daniel is an individual health care provider with primary practice located at 2 Good Samaritan Way Suite 420, Mount Vernon IL 62864-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hoffman, Daniel can be contacted via phone (618) 899-4000.

Contact Information

Primary practice address
2 Good Samaritan Way Suite 420 Mount Vernon IL 62864-2408
Phone: (618) 899-4000
Fax: (618) 899-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036059053 Illinois

Profile Details

NPI number 1134147432
LBN Legal business name Hoffman, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 21st, 2013 - about 12 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 1134147432 NPPES
Illinois Other CE9335 RR GROUP
Illinois Other 04108659 RR GROUP
Illinois Other 010059220 RR GROUP
Illinois MEDICAID 036059053 RR GROUP
Illinois Other 207988 RR GROUP

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