Provider Demographics
NPI:1992915292
Name:HOFFE, TODD
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:HOFFE
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 1:27962 HOFFE LN
Mailing Address - Street 2:
Mailing Address - City:DAKOTA
Mailing Address - State:MN
Mailing Address - Zip Code:55925-4179
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:319 MAIN ST
Practice Address - Street 2:STE. 302
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-0705
Practice Address - Country:US
Practice Address - Phone:608-796-1168
Practice Address - Fax:608-796-1944
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11306-132101YA0400X
MN300429101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39336500Medicaid