Provider Demographics
NPI:1407000573
Name:HOFFMAN, CHRISTOPHER COOPER
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:COOPER
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 S POND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-8905
Mailing Address - Country:US
Mailing Address - Phone:864-266-3536
Mailing Address - Fax:
Practice Address - Street 1:2902 E MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1252
Practice Address - Country:US
Practice Address - Phone:864-266-3536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-15
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ349729128Medicare PIN