Provider Demographics
NPI:1083748206
Name:HOFF, JUSTIN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:LEE
Last Name:HOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14450 S ROBERT TRL
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-4952
Mailing Address - Country:US
Mailing Address - Phone:651-423-2251
Mailing Address - Fax:651-423-2252
Practice Address - Street 1:14450 S ROBERT TRL
Practice Address - Street 2:SUITE 208
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-4952
Practice Address - Country:US
Practice Address - Phone:651-423-2251
Practice Address - Fax:651-423-2252
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor