Provider Demographics
NPI:1508646621
Name:HOFFMAN, JADEN NICHOLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JADEN
Middle Name:NICHOLAS
Last Name:HOFFMAN
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 1:111 JEWETT ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2663
Mailing Address - Country:US
Mailing Address - Phone:507-532-4355
Mailing Address - Fax:507-532-2399
Practice Address - Street 1:111 JEWETT ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2663
Practice Address - Country:US
Practice Address - Phone:507-532-4355
Practice Address - Fax:507-532-2399
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor