Provider Demographics
NPI:1710982855
Name:HOFGAARD, HENRIK A (MD)
Entity Type:Individual
Prefix:MR
First Name:HENRIK
Middle Name:A
Last Name:HOFGAARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N 7TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1795
Mailing Address - Country:US
Mailing Address - Phone:717-749-4801
Mailing Address - Fax:717-749-4852
Practice Address - Street 1:120 N 7TH ST
Practice Address - Street 2:STE 101
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1795
Practice Address - Country:US
Practice Address - Phone:717-749-4801
Practice Address - Fax:717-749-4852
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424179207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010814540002Medicaid
PA3725686OtherAETNA HMO
PA158434OtherMEDPLUS
PA1627974OtherHIGHMARK BLUE SHIELD
PA2126365OtherALLIANCE
PA7027563OtherAETNA NON-HMO
PA50043164OtherCAPITAL BLUE CROSS
PAI09734Medicare UPIN
PA158434OtherMEDPLUS