Healthcare Provider Details

I. General information

NPI: 1407365489
Provider Name (Legal Business Name): STEVEN JAMES HOFFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SPRING ST.
BELFAST ME
04915
US

IV. Provider business mailing address

80 SPRING ST
BELFAST ME
04915-6443
US

V. Phone/Fax

Practice location:
  • Phone: 207-323-4452
  • Fax:
Mailing address:
  • Phone: 207-323-4452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT4112
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: