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Contact Information

LEE A HOFSOMMER, DPM
1702 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-364-3300
 Fax: 701-364-8906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LEE A HOFSOMMER · (Male)

NPI # 1972534642
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/05/2006
Last updated 08/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 15
  • ND Medicaid 15387
  • ND Medicaid 593525300
  • ND Other 20314 AMERICA'S PPO/ARAZ #
  • ND Other HP21437 HEALTHPARTNERS #
  • ND Other 41093 LHS #
  • ND Other 2700488 MEDICA #
  • ND Other 2700493 MEDICA #
  • ND Other 466L6HO MNBS #
  • ND Other 25446 NDBS #
  • ND Other DA9011008260 PREFERRED ONE #
  • ND Other 117307 UCARE #
Hospital affiliation(s)
  • ESSENTIA HEALTH ST MARYS - (Acute Care)
    1027 WASHINGTON AVE
    DETROIT LAKES, MN 56501
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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