MEDICARE: MEAGHAN HOFFMANN

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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1639500382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN HOFFMANN

Provider Business Mailing Address
First Line	:	114 ELLIOT ST
Second Line	:
City	:	MACKINAW CITY
State	:	MI
Zip	:	49701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 ELLIOT ST
Second Line	:
City	:	MACKINAW CITY
State	:	MI
Zip	:	49701
Country	:	US
Telephone Number	:	906-643-8616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	07/14/2015

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Directions to “ MEAGHAN HOFFMANN ” Practice Location

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