Provider Demographics
NPI:1487194858
Name:HOFSESS, JARED EDWARD (HAS)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:EDWARD
Last Name:HOFSESS
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 SOUTHBERRY HL
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8176
Mailing Address - Country:US
Mailing Address - Phone:330-402-8063
Mailing Address - Fax:
Practice Address - Street 1:888 BOARDMAN CANFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4276
Practice Address - Country:US
Practice Address - Phone:330-726-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist