=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205063518
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOFF & HOFF
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2009
-----------------------------------------------------
Last Update Date | 06/12/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | E5163 NESSETTE RD
-----------------------------------------------------
City | WESTBY
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54667-8291
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-452-3767
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | E5163 NESSETTE ROAD
-----------------------------------------------------
City | WESTBY
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KIRA HOFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 608-452-3767
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number | 41469800
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------