Healthcare Provider Details
I. General information
NPI: 1285663765
Provider Name (Legal Business Name): SIGNEE LORRAINE HOFFMAN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2006
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2018 17TH ST
BAKERSFIELD CA
93301-4204
US
IV. Provider business mailing address
2018 17TH ST
BAKERSFIELD CA
93301-4204
US
V. Phone/Fax
- Phone: 661-321-0333
- Fax: 661-325-2627
- Phone: 661-321-0333
- Fax: 661-325-2627
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | 0210 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: