Healthcare Provider Details
I. General information
NPI: 1255914040
Provider Name (Legal Business Name): SARA HOFFSCHNEIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/30/2021
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 N GREEN ST
VALENTINE NE
69201-1932
US
IV. Provider business mailing address
510 N GREEN ST
VALENTINE NE
69201-1932
US
V. Phone/Fax
- Phone: 402-376-2525
- Fax:
- Phone: 402-376-2525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35890 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: