Provider Demographics
NPI:1336788496
Name:SIMPLY SKIN MEDICAL SPA, INC.
Entity Type:Organization
Organization Name:SIMPLY SKIN MEDICAL SPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOFFMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-227-2362
Mailing Address - Street 1:420 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1336
Mailing Address - Country:US
Mailing Address - Phone:814-227-2362
Mailing Address - Fax:814-227-2390
Practice Address - Street 1:420 WOOD ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-1336
Practice Address - Country:US
Practice Address - Phone:814-227-2362
Practice Address - Fax:814-227-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center