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NPI Code Detail

MEDICARE: BRENT HOFHINES

MEDICARE: BRENT HOFHINES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker5797085-3503UT
21041C0700XClinical Social Worker8342NV

General Provider Information

NPI Number : 1952777476
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENT HOFHINES
Provider Business Mailing Address
First Line : PO BOX 370304
Second Line :
City : LAS VEGAS
State : NV
Zip : 89137-0304
Country : US
Telephone Number : 435-229-3245
Fax Number :
Provider Business Practice Location Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 435-229-3245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 01/25/2023

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Directions to “ BRENT HOFHINES ” Practice Location

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