Provider Demographics
NPI:1851304307
Name:HOFFMANN, PAUL E (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 EAST THIRD STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-321-1128
Mailing Address - Fax:423-756-8265
Practice Address - Street 1:1010 EAST THIRD STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-321-1128
Practice Address - Fax:423-756-8265
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031053208100000X
GA057478208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000981263AMedicaid
GA10077582OtherAMERIGROUP
7491985OtherCIGNA
TN4047243OtherBCBSTN
GA520491OtherWELLCARE
GA370259OtherWELLCARE
TN4167704OtherBCBS OF TN
TN3854226Medicaid
TNP00707190OtherRAILROAD MEDICARE
TN250013978Medicare PIN
H12347Medicare UPIN
GA25BBGBQMedicare PIN
TN4167704OtherBCBS OF TN
GA10077582OtherAMERIGROUP
TN3854228Medicare PIN