Provider Demographics
NPI:1598793325
Name:HOFFA, JEFFREY S (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:S
Last Name:HOFFA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LAPEER
Mailing Address - Street 2:HEALTH DELIVERY INC.
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607
Mailing Address - Country:US
Mailing Address - Phone:989-759-6400
Mailing Address - Fax:989-759-6423
Practice Address - Street 1:1490 NORTH M-52
Practice Address - Street 2:HEALTH DELIVERY INC.
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867
Practice Address - Country:US
Practice Address - Phone:989-729-4848
Practice Address - Fax:989-729-4849
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080G310660OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
1598793325OtherMOLINA HEALTH CARE OF MICHIGAN
0G36111098OtherMEDICARE
34401OtherHEALTHPLAN OF MICHIGAN
0980571OtherHEALTH PLUS OF MICHIGAN
MI1598793325Medicaid
168111OtherGREAT LAKES HEALTH PLAN
381908328OtherPPOM/COFINITY
381908328OtherPRIORITY HEALTH
G32625OtherHAP OF MICHIGAN
381908328-414OtherCARESOURCE
MI4343639Medicaid
1032272OtherMCLAREN HEALTH PLAN
080G310660OtherBLUE CARE NETWORK
381908328OtherAETNA
080G310660OtherBLUE CARE NETWORK
0980571OtherHEALTH PLUS OF MICHIGAN