Provider Demographics
NPI:1619022647
Name:HOFFMAN, EDWARD NEAL (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:NEAL
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 1:2701 OLNEY SANDY SPRING RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1615
Mailing Address - Country:US
Mailing Address - Phone:301-774-0081
Mailing Address - Fax:301-774-2936
Practice Address - Street 1:2701 OLNEY SANDY SPRING RD
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1615
Practice Address - Country:US
Practice Address - Phone:301-774-0081
Practice Address - Fax:301-774-2936
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7928238OtherAETNA PPO EPO POS
DC83050002OtherCAREFIRST
002084491001OtherUNITED HEALTH CARE
MD61038001OtherCAREFIRST
2573350OtherAETNA HMO
289218OtherMAMSI HMO PPO MLP ONE NET
002084491001OtherUNITED HEALTH CARE
MD61038001OtherCAREFIRST