Healthcare Provider Details

I. General information

NPI: 1003795873
Provider Name (Legal Business Name): DORIE HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 ERICSTON CT
PAINESVILLE OH
44077-4377
US

IV. Provider business mailing address

757 ERICSTON CT
PAINESVILLE OH
44077-4377
US

V. Phone/Fax

Practice location:
  • Phone: 440-537-7091
  • Fax:
Mailing address:
  • Phone: 440-537-7091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: