Provider Demographics
NPI:1265566459
Name:HOFF, ALBERT CHARLES JR (DC)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:CHARLES
Last Name:HOFF
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14450 S ROBERT TRL
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-4952
Mailing Address - Country:US
Mailing Address - Phone:651-423-2251
Mailing Address - Fax:651-423-2252
Practice Address - Street 1:14450 S ROBERT TRL
Practice Address - Street 2:SUITE 208
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-4952
Practice Address - Country:US
Practice Address - Phone:651-423-2251
Practice Address - Fax:651-423-2252
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350018513OtherPALMETTO GBA MEDICARE
MN4448231OtherMEDICA
MN56200HOOtherBLUE CROSS
MN230344OtherACN OF MN CHIROCARE
MN270527300Medicaid
MN4448231OtherMEDICA
MN4448231OtherMEDICA
MNT39744Medicare UPIN