Provider Demographics
NPI:1780436899
Name:HOFFMAN, JOHN D
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:44851-9324
Mailing Address - Country:US
Mailing Address - Phone:419-541-1268
Mailing Address - Fax:
Practice Address - Street 1:2065 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:OH
Practice Address - Zip Code:44851-9324
Practice Address - Country:US
Practice Address - Phone:419-541-1268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant