Provider Demographics
NPI:1215426937
Name:HOFFMANN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HOFFMANN CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-629-1332
Mailing Address - Street 1:3933 HIGHWAY 59 STE A
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1958
Mailing Address - Country:US
Mailing Address - Phone:985-629-1332
Mailing Address - Fax:985-327-5449
Practice Address - Street 1:3933 HIGHWAY 59 STE A
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1958
Practice Address - Country:US
Practice Address - Phone:985-629-1332
Practice Address - Fax:985-327-5449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MELISSA M HOFFMANN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-08
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty