Healthcare Provider Details

I. General information

NPI: 1023159977
Provider Name (Legal Business Name): DAVID P HOFER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 PARALLEL PKWY
KANSAS CITY KS
66112-2010
US

IV. Provider business mailing address

8135 PARALLEL PKWY
KANSAS CITY KS
66112-2010
US

V. Phone/Fax

Practice location:
  • Phone: 913-334-8080
  • Fax:
Mailing address:
  • Phone: 913-334-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-04616
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: