Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 168 | AL |
N | 222Z00000X | Podiatrist | 168 | AL |
Y | 224P00000X | Prosthetist | 168 | AL |
NPI | 1235382854 |
---|---|
Provider Name | Mr. Joseph E. Hoffert |
First Address | Dothan, AL 36302-0729 |
Second Address | Dothan, AL 36303-2053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 18/09/2013 |