Hofman, Sam
Hofman, Sam is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Hofman, Sam can be contacted via phone (920) 496-4780.Contact Information
Primary practice address
1715 Dousman St
Green Bay WI 54303-3211
Phone: (920) 496-4780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 53873 | Wisconsin |
Profile Details
| NPI number | 1245496801 |
|---|---|
| LBN Legal business name | Hofman, Sam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2008 |
| Last updated | Aug 29th, 2019 - about 7 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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