Provider Demographics
NPI:1700834454
Name:HOFF CHIROPRACTIC CLINIC, P.C.
Entity Type:Organization
Organization Name:HOFF CHIROPRACTIC CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-479-0442
Mailing Address - Street 1:8075 RTE 286 HWY W
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-8686
Mailing Address - Country:US
Mailing Address - Phone:724-479-0442
Mailing Address - Fax:724-479-2930
Practice Address - Street 1:8075 RTE 286 HWY W
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-8686
Practice Address - Country:US
Practice Address - Phone:724-479-0442
Practice Address - Fax:724-479-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003138L111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016584470003Medicaid
PA0017245240002Medicaid
PA1012406120001Medicaid
PAU64883OtherDR. TODD TRINKLEY
PA0010301850002Medicaid
PA0019639440002Medicaid
PA0017245240002Medicaid
PAU85181Medicare UPIN
PA038597Medicare ID - Type UnspecifiedGROUP
PA071846N5RMedicare ID - Type UnspecifiedDR. MATT WELLS
PA088120N5RMedicare ID - Type UnspecifiedDR. ANDY GRATZMILLER
PAT30590Medicare UPIN
PA467052N5RMedicare ID - Type UnspecifiedDR. W. DAVID HOFF