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Contact Information

HOFFMAN GERIATRIC SERVICES SC
2021 S ALVERNO RD
MANITOWOC, WI54220
 Phone: 920-686-1822
 Fax: 920-686-7448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HOFFMAN GERIATRIC SERVICES SC

NPI Number 1396835328
LBN Legal business name HOFFMAN GERIATRIC SERVICES SC
Authorized official TRACY HOFFMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 37871020
WI Medicaid 32241400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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