Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35.093981 | OH |
N | 207T00000X | Neurosurgeon | TRAINING LICENSE | OH |
N | 2086S0102X | Surgical Critical Care | 35.093981 | OH |
NPI | 1104023142 |
---|---|
Provider Name | Dr. Seth Alan Hoffer |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2966830 | (05) | OH |
P00785736 | MEDICARE RAILROAD (01) | OH |