Provider Demographics
NPI:1043301468
Name:HOFFMANN, AARON M (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:HOFFMANN
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 1:450 HOPE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1834
Mailing Address - Country:US
Mailing Address - Phone:401-253-1130
Mailing Address - Fax:401-253-8320
Practice Address - Street 1:450 HOPE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1834
Practice Address - Country:US
Practice Address - Phone:401-253-1130
Practice Address - Fax:401-253-8320
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDC00424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26693-6OtherBLUE CROSS & BLUE SHIELD
RI410746OtherBLUE CHIP
RIU96739Medicare UPIN
RI359026693Medicare ID - Type UnspecifiedMEDICARE