Individual
DR. CHRISTOPHER SHAWN HOFELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
41 QUATERMASTER CT., JEFFERSONVILLE, IN 47130-3623
(812) 282-1617
(812) 288-7325
Mailing address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 282-1617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02003983A
IN
207R00000X
Internal Medicine Physician
34-008723
OH
207RC0000X
Cardiovascular Disease Physician
02003983A
IN
207RI0011X
Interventional Cardiology Physician
Primary
02003983A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201075760
—
IN
05
—
2648246
—
OH
01
—
IN1189043
IN MEDICARE
IN
Enumeration date
09/24/2006
Last updated
05/13/2021
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