Healthcare Provider Details

I. General information

NPI: 1245650621
Provider Name (Legal Business Name): ERIK CHRISTIAN HOFFMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

IV. Provider business mailing address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-7272
  • Fax: 336-832-8641
Mailing address:
  • Phone: 336-832-7272
  • Fax: 336-832-8641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number201819
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: