Healthcare Provider Details

I. General information

NPI: 1952538126
Provider Name (Legal Business Name): ALLAN HOFFMEYER L.M.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 CARING ST
HILLMAN MI
49746-8818
US

IV. Provider business mailing address

610 CARING ST
HILLMAN MI
49746-8818
US

V. Phone/Fax

Practice location:
  • Phone: 989-742-4583
  • Fax: 989-742-2183
Mailing address:
  • Phone: 989-742-4583
  • Fax: 989-742-2183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberAH086997
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: