Healthcare Provider Details

I. General information

NPI: 1477908416
Provider Name (Legal Business Name): HOFMAN CHIROPRACTIC AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 LONETREE BLVD SUITE 200
ROCKLIN CA
95765-5874
US

IV. Provider business mailing address

6510 LONETREE BLVD SUITE 200
ROCKLIN CA
95765-5874
US

V. Phone/Fax

Practice location:
  • Phone: 916-872-1200
  • Fax: 916-644-6024
Mailing address:
  • Phone: 916-872-1200
  • Fax: 916-644-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32531
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32551
License Number StateCA

VIII. Authorized Official

Name: DR. HEATHER HOFMAN
Title or Position: VP
Credential: DC
Phone: 916-872-1200