Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1220 | MS |
NPI | 1003239393 |
---|---|
Provider Name | David Hoffman |
First Address | Ocean Springs, MS 39564-2859 |
Second Address | Ocean Springs, MS 39564-2642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2014 |
Last Update Date | 21/04/2016 |