Provider Demographics
NPI:1235258831
Name:HOFFMAN, STEWARD CRAIG (PAC)
Entity Type:Individual
Prefix:
First Name:STEWARD
Middle Name:CRAIG
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:PA
Mailing Address - Zip Code:17066-1361
Mailing Address - Country:US
Mailing Address - Phone:814-542-8627
Mailing Address - Fax:
Practice Address - Street 1:100 S PARK ST
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:PA
Practice Address - Zip Code:17066-1361
Practice Address - Country:US
Practice Address - Phone:814-542-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA000263L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant