Provider Demographics
NPI:1932717485
Name:HOFFMANN, JOSHUA J
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:J
Last Name:HOFFMANN
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 1:313 CARLETON AVE
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:MN
Mailing Address - Zip Code:56266-1503
Mailing Address - Country:US
Mailing Address - Phone:507-430-0936
Mailing Address - Fax:
Practice Address - Street 1:625 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MN
Practice Address - Zip Code:56087-1714
Practice Address - Country:US
Practice Address - Phone:507-723-6201
Practice Address - Fax:507-217-5830
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily