Hoffman, Stacey R

Hoffman, Stacey R is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hoffman, Stacey R can be contacted via phone (612) 873-2562.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2562
Fax: (612) 904-4651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2551 Minnesota

Profile Details

NPI number 1871523605
LBN Legal business name Hoffman, Stacey R
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 19th, 2008 - about 15 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 1871523605 NPPES
Minnesota MEDICAID 223628000

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