Provider Demographics
NPI:1578897716
Name:JANET L HOFFMAN, MD, PC
Entity Type:Organization
Organization Name:JANET L HOFFMAN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-970-5342
Mailing Address - Street 1:1506 N MCKENZIE STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2264
Mailing Address - Country:US
Mailing Address - Phone:251-970-5342
Mailing Address - Fax:251-970-5138
Practice Address - Street 1:1506 N MCKENZIE STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2264
Practice Address - Country:US
Practice Address - Phone:251-970-5342
Practice Address - Fax:251-970-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173000000X
AL22341207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I1081346Medicare UPIN