Healthcare Provider Details
I. General information
NPI: 1962492371
Provider Name (Legal Business Name): DARIN JAY HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/26/2005
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4800 HOSPITAL PKWY
BEATRICE NE
68310-6906
US
IV. Provider business mailing address
PO BOX 278
BEATRICE NE
68310-0278
US
V. Phone/Fax
- Phone: 402-228-3344
- Fax:
- Phone: 402-228-3344
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 20597 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: