Provider Demographics
NPI:1326043928
Name:HOFFMANN, ROBERT R (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:HOFFMANN
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 1:212 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-3130
Mailing Address - Country:US
Mailing Address - Phone:479-524-5103
Mailing Address - Fax:479-524-9638
Practice Address - Street 1:212 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3130
Practice Address - Country:US
Practice Address - Phone:479-524-5103
Practice Address - Fax:479-524-9638
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR824111N00000X
OK2468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59381OtherBLUE CROSS BLUE SHIELD
AR59381Medicare ID - Type Unspecified
ART88128Medicare UPIN