MEDICARE: HOFFMAN CHIROPRACTIC CLINIC

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	005226	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1447365531	OTHER	MO	PROVIDER NPI NUMBER

General Provider Information

NPI Number	:	1952502841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOFFMAN CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	11405 NEW HALLS FERRY RD
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-7031
Country	:	US
Telephone Number	:	314-838-6070
Fax Number	:	314-838-8067

Provider Business Practice Location Address
First Line	:	11405 NEW HALLS FERRY RD
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-7031
Country	:	US
Telephone Number	:	314-838-6070
Fax Number	:	314-838-8067

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAUL BRIEN HOFFMAN
Credential	:	D.C.
Telephone Number	:	314-838-6070

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	01/02/2008

Similar Medicare Providers

1447365531 — DR. PAUL B HOFFMAN D.O.
Practice Location Address:

11405 NEW HALLS FERRY RD
FLORISSANT, MO
63033-7031

Practice Phone: 314-838-6070
Practice Fax: 314-838-8067

1942544010 — ACCIDENT AND INJURY CENTER OF NORTH COUNTY PC
Practice Location Address:

11405 NEW HALLS FERRY RD
FLORISSANT, MO
63033-7031

Practice Phone: 314-838-6070
Practice Fax:

1548191927 — MAKIYAH DAY RBT
Practice Location Address:

3533 DUNN RD STE 204-212
FLORISSANT, MO
63033-6783

Practice Phone: 636-398-2510
Practice Fax: 800-687-5070

1649101825 — JENIA HOWARD
Practice Location Address:

3533 DUNN RD STE 204-212
FLORISSANT, MO
63033-6783

Practice Phone: 636-398-2510
Practice Fax: 800-687-5070

1649101742 — WENDY STEWARD
Practice Location Address:

3533 DUNN RD STE 204-212
FLORISSANT, MO
63033-6783

Practice Phone: 363-398-2510
Practice Fax: 800-687-5070

1366281883 — ELISE G AMO BCBA, LBA
Practice Location Address:

3533 DUNN RD STE 210
FLORISSANT, MO
63033-6761

Practice Phone: 636-398-2510
Practice Fax: 800-687-5070

Directions to “HOFFMAN CHIROPRACTIC CLINIC ” Practice Location

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