Provider Demographics
NPI:1780676627
Name:HOFFMAN, CHAD MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:MATTHEW
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 1:1671 HOFFMAN RD STE 170
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-6232
Mailing Address - Country:US
Mailing Address - Phone:920-499-3333
Mailing Address - Fax:920-482-5814
Practice Address - Street 1:1671 HOFFMAN RD # 170
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-6222
Practice Address - Country:US
Practice Address - Phone:920-499-3333
Practice Address - Fax:920-482-5814
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3788-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor