Provider Demographics
NPI:1992988091
Name:HOFFECKER, DENISE USTIK (DC,LAC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:USTIK
Last Name:HOFFECKER
Suffix:
Gender:F
Credentials:DC,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MCCULLOUGH DR
Mailing Address - Street 2:SUITE 155
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4385
Mailing Address - Country:US
Mailing Address - Phone:704-548-8818
Mailing Address - Fax:
Practice Address - Street 1:416 MCCULLOUGH DR
Practice Address - Street 2:SUITE 155
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4385
Practice Address - Country:US
Practice Address - Phone:704-548-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1922111N00000X
NC424171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2447629BMedicare PIN