Healthcare Provider Details

I. General information

NPI: 1508848912
Provider Name (Legal Business Name): CRAIG J HOFFMAN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2005
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 C AVE E
OSKALOOSA IA
52577-4246
US

IV. Provider business mailing address

1229 C AVE E
OSKALOSSA IA
52577-4298
US

V. Phone/Fax

Practice location:
  • Phone: 641-672-3360
  • Fax:
Mailing address:
  • Phone: 641-672-3394
  • Fax: 641-672-3336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number01371
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: