1700834454 NPI number — HOFF CHIROPRACTIC CLINIC, P.C.

Table of content: (NPI 1700834454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700834454 NPI number — HOFF CHIROPRACTIC CLINIC, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOFF CHIROPRACTIC CLINIC, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700834454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8075 RTE 286 HWY W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15701-8686
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-479-0442
Provider Business Mailing Address Fax Number:
724-479-2930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8075 RTE 286 HWY W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-8686
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-479-0442
Provider Business Practice Location Address Fax Number:
724-479-2930
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOFF
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-479-0442

Provider Taxonomy Codes

  • Taxonomy code: 111NR0200X , with the licence number:  DC003138L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0016584470003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0017245240002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1012406120001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: U64883 . This is a "DR. TODD TRINKLEY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0010301850002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0019639440002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com