Basic Information
Provider Information
NPI: 1932581683
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFER
FirstName: ERIN
MiddleName: LYN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 660 S EUCLID AVE
Address2: CB 8233
City: SAINT LOUIS
State: MO
PostalCode: 631101010
CountryCode: US
TelephoneNumber: 3145143500
FaxNumber: 3147472598
Practice Location
Address1: 3443 DICKERSON PIKE STE 190
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372072533
CountryCode: US
TelephoneNumber: 6158601580
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2015
LastUpdateDate: 09/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0801X2020012834MON Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0801X63490TNY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma

No ID Information.


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