Provider Demographics
NPI:1205424710
Name:HOFFMAN, EMILY J (MS, CCLS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS, CCLS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:STEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53512-0164
Mailing Address - Country:US
Mailing Address - Phone:262-844-8049
Mailing Address - Fax:608-207-9802
Practice Address - Street 1:1348 MOORE ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-4143
Practice Address - Country:US
Practice Address - Phone:262-844-8049
Practice Address - Fax:608-207-9802
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist