Provider Demographics
NPI:1447484837
Name:HOFFMAN, THOMAS BRETT (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BRETT
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 1:550 W VISTA WAY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5732
Mailing Address - Country:US
Mailing Address - Phone:760-631-6111
Mailing Address - Fax:760-539-8038
Practice Address - Street 1:550 W VISTA WAY
Practice Address - Street 2:SUITE 212
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5732
Practice Address - Country:US
Practice Address - Phone:760-631-6111
Practice Address - Fax:760-539-8038
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 21717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor