Healthcare Provider Details

I. General information

NPI: 1023821865
Provider Name (Legal Business Name): NICOLE HOFFMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 05/04/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 DEVEREUX CIR STE 101
VESTAVIA AL
35243-2564
US

IV. Provider business mailing address

5330 STADIUM TRACE PKWY STE 260
HOOVER AL
35244-4704
US

V. Phone/Fax

Practice location:
  • Phone: 940-231-5871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2888
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: