Hofman, Gary L

Hofman, Gary L is an individual health care provider with primary practice located at 4300 S Louise Ave Ste 201 , Sioux Falls SD 57106-3124. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Hofman, Gary L can be contacted via phone (605) 334-7713.

Contact Information

Primary practice address
4300 S Louise Ave Ste 201 Sioux Falls SD 57106-3124
Phone: (605) 334-7713
Fax: (605) 334-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SDCCDCIII1051148 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SDLPCMH2032 South Dakota

Profile Details

NPI number 1700863206
LBN Legal business name Hofman, Gary L
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated May 6th, 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 1700863206 NPPES
South Dakota MEDICAID 6575260
South Dakota Other 4998512

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