Provider Demographics
NPI:1659398436
Name:MICHAEL C HOFFMAN, M.D., P.C.
Entity Type:Organization
Organization Name:MICHAEL C HOFFMAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-943-6456
Mailing Address - Street 1:PO BOX 2143
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36536-2143
Mailing Address - Country:US
Mailing Address - Phone:251-943-6456
Mailing Address - Fax:251-970-3990
Practice Address - Street 1:1506 N MCKENZIE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2261
Practice Address - Country:US
Practice Address - Phone:251-968-5840
Practice Address - Fax:251-970-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDE9221OtherMEDICARE RAILROAD
ALDE9221OtherMEDICARE RAILROAD