Provider Demographics
NPI:1568688158
Name:HOFFMANN, BECKIE MAY (AAS-HIS)
Entity Type:Individual
Prefix:
First Name:BECKIE
Middle Name:MAY
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:AAS-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DEWEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-0800
Mailing Address - Country:US
Mailing Address - Phone:406-494-3995
Mailing Address - Fax:496-494-3373
Practice Address - Street 1:700 DEWEY BLVD
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-0800
Practice Address - Country:US
Practice Address - Phone:406-494-3995
Practice Address - Fax:496-494-3373
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT206237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT560001Medicaid