Hoffman, Mark R

Hoffman, Mark R is an individual health care provider with primary practice located at 16528 Desmet Ct , Spokane Valley WA 99216-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hoffman, Mark R can be contacted via phone (866) 747-2455.

Contact Information

Primary practice address
16528 Desmet Ct Spokane Valley WA 99216-3522
Phone: (866) 747-2455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420008304 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60454301 Washington

Profile Details

NPI number 1770572943
LBN Legal business name Hoffman, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated May 19th, 2021 - about 5 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 1770572943 NPPES
Vermont MEDICAID OVN0029

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