MEDICARE: HOFMANN CHIROPRACTIC CLINIC, P.C.

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1598801029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOFMANN CHIROPRACTIC CLINIC, P.C.

Provider Business Mailing Address
First Line	:	5000 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2918
Country	:	US
Telephone Number	:	313-386-1050
Fax Number	:	313-386-2103

Provider Business Practice Location Address
First Line	:	5000 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2918
Country	:	US
Telephone Number	:	313-386-1050
Fax Number	:	313-386-2103

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. JOHN M HOFMANN
Credential	:	DC
Telephone Number	:	313-386-1050

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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