Provider Demographics
NPI:1023683414
Name:HOFFMAN CHIROPRACTIC INC.
Entity type:Organization
Organization Name:HOFFMAN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:V
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-326-3396
Mailing Address - Street 1:11500 NE 119TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-1643
Mailing Address - Country:US
Mailing Address - Phone:360-326-3396
Mailing Address - Fax:360-838-4782
Practice Address - Street 1:11500 NE 119TH ST STE 104
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-1643
Practice Address - Country:US
Practice Address - Phone:360-326-3396
Practice Address - Fax:360-838-4782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARLES V HOFFMAN D.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty