Individual
TODD K HOFACKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1703
(614) 523-2266
(614) 523-2288
Mailing address
PO BOX 280, WESTERVILLE, OH 43086-0280
(614) 523-2266
(614) 523-2288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN167984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970516
—
OH
Enumeration date
08/17/2005
Last updated
07/09/2007
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