Provider Demographics
NPI:1891188298
Name:HOFFMAN, SCOTT (CRT)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 WAKELY TER
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5441
Mailing Address - Country:US
Mailing Address - Phone:270-307-1784
Mailing Address - Fax:443-903-2014
Practice Address - Street 1:265 WAKELY TER
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5441
Practice Address - Country:US
Practice Address - Phone:270-307-1784
Practice Address - Fax:443-903-2014
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL00057312278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care