=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427933928
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHALYNN K. HOFFMAN DEM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2025
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 671 HOPLEY AVE
-----------------------------------------------------
City | BUCYRUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44820-2854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-561-0785
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 671 HOPLEY AVE
-----------------------------------------------------
City | BUCYRUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44820-2854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-561-0785
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------