Hoffnung, Jack M.

Hoffnung, Jack M. is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hoffnung, Jack M. can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15316 Tennessee

Profile Details

NPI number 1275534851
LBN Legal business name Hoffnung, Jack M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 12th, 2010 - about 16 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 1275534851 NPPES
Virginia Other 242045 ANTHEM BCBS
Virginia Other 3058534 ANTHEM BCBS
Virginia Other R07104 ANTHEM BCBS
Virginia MEDICAID 64927460 ANTHEM BCBS
Virginia MEDICAID 7213395 ANTHEM BCBS
Virginia MEDICAID 0216840000 ANTHEM BCBS
Virginia MEDICAID 3193230 ANTHEM BCBS

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