Provider Demographics
NPI:1588719934
Name:HOFFART, VINCENT MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:HOFFART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FAIRWAY DR
Mailing Address - Street 2:STE. 6
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4244
Mailing Address - Country:US
Mailing Address - Phone:916-632-8315
Mailing Address - Fax:916-632-6836
Practice Address - Street 1:6000 FAIRWAY DR
Practice Address - Street 2:STE. 6
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4244
Practice Address - Country:US
Practice Address - Phone:916-632-8315
Practice Address - Fax:916-632-6836
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 21716111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0217160Medicare ID - Type Unspecified