MEDICARE: HOFFMANN CHIROPRACTIC CLINIC PA

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	824	AR

General Provider Information

NPI Number	:	1982749826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOFFMANN CHIROPRACTIC CLINIC PA

Provider Business Mailing Address
First Line	:	212 S BROADWAY ST
Second Line	:
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-3130
Country	:	US
Telephone Number	:	479-524-5103
Fax Number	:	479-524-9638

Provider Business Practice Location Address
First Line	:	212 S BROADWAY ST
Second Line	:
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-3130
Country	:	US
Telephone Number	:	479-524-5103
Fax Number	:	479-524-9638

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT R HOFFMANN
Credential	:	D.C.
Telephone Number	:	479-524-5103

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	10/30/2007

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