Healthcare Provider Details

I. General information

NPI: 1740406511
Provider Name (Legal Business Name): STEVEN HOFFMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 SPRING ST
JEFFERSONVILLE IN
47130-3340
US

IV. Provider business mailing address

530 CHIPPEWA DR
JEFFERSONVILLE IN
47130-4602
US

V. Phone/Fax

Practice location:
  • Phone: 812-280-8170
  • Fax: 812-280-8171
Mailing address:
  • Phone: 812-284-5137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001799A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: