Provider Demographics
NPI:1376528018
Name:HOEFFLING, JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:HOEFFLING
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 1:1728 TOWER AVE
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:WI
Mailing Address - Zip Code:54880-2543
Mailing Address - Country:US
Mailing Address - Phone:715-395-0928
Mailing Address - Fax:715-395-0930
Practice Address - Street 1:1728 TOWER AVE
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:WI
Practice Address - Zip Code:54880-2543
Practice Address - Country:US
Practice Address - Phone:715-395-0928
Practice Address - Fax:715-395-0930
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3629-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000135659Medicare PIN
WIU82436Medicare UPIN