Provider Demographics
NPI:1649372285
Name:HOFFMAN, JAMES SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SCOTT
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11990 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1784
Mailing Address - Country:US
Mailing Address - Phone:303-920-9486
Mailing Address - Fax:303-920-1295
Practice Address - Street 1:11990 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1784
Practice Address - Country:US
Practice Address - Phone:303-920-9486
Practice Address - Fax:303-920-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO802668Medicare ID - Type Unspecified
COV06064Medicare UPIN