Hofsommer, Lee A

Hofsommer, Lee A is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hofsommer, Lee A can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 15 North Dakota

Profile Details

NPI number 1972534642
LBN Legal business name Hofsommer, Lee A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 17th, 2011 - 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 1972534642 NPPES
North Dakota Other 2700488 MEDICA #
North Dakota Other 41093 MEDICA #
North Dakota MEDICAID 593525300 MEDICA #
North Dakota Other 117307 MEDICA #
North Dakota MEDICAID 15387 MEDICA #
North Dakota Other HP21437 MEDICA #
North Dakota Other 20314 MEDICA #
North Dakota Other 25446 MEDICA #
North Dakota Other DA9011008260 MEDICA #
North Dakota Other 2700493 MEDICA #
North Dakota Other 466L6HO MEDICA #

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