Provider Demographics
NPI:1962492371
Name:HOFFMAN, DARIN JAY (MD)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:JAY
Last Name:HOFFMAN
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 1:805 W COURT ST
Mailing Address - Street 2:PO BOX 578
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3525
Mailing Address - Country:US
Mailing Address - Phone:402-228-3366
Mailing Address - Fax:402-228-3502
Practice Address - Street 1:805 W COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3525
Practice Address - Country:US
Practice Address - Phone:402-228-3366
Practice Address - Fax:402-228-3502
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20597207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47063549900Medicaid
G41038Medicare UPIN
NE0319400001Medicare NSC
273057H0Medicare ID - Type Unspecified