Provider Demographics
NPI:1366491649
Name:HOFF, WILLIAM DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVID
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 1:8075 RTE 286 HWY W
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-8686
Mailing Address - Country:US
Mailing Address - Phone:724-479-0442
Mailing Address - Fax:724-479-2930
Practice Address - Street 1:8075 RTE 286 HWY W
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-8686
Practice Address - Country:US
Practice Address - Phone:724-479-0442
Practice Address - Fax:724-479-2930
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003138L111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30590Medicare UPIN
PW038597Medicare ID - Type UnspecifiedGROUP ID
PA0017245240002Medicare ID - Type UnspecifiedGROUP ID
PA467052N5RMedicare UPIN
PA0010301850002Medicare ID - Type UnspecifiedMEDICARE ID