Healthcare Provider Details

I. General information

NPI: 1790137792
Provider Name (Legal Business Name): STEVE HOFFMAN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N HIGH ST
COLUMBUS OH
43201-2460
US

IV. Provider business mailing address

1301 N HIGH ST
COLUMBUS OH
43201-2460
US

V. Phone/Fax

Practice location:
  • Phone: 614-299-6600
  • Fax: 614-421-3111
Mailing address:
  • Phone: 614-299-6600
  • Fax: 614-421-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN223254
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: