Glenn John Hoffman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1698-012 Issued in WI

Practice address

1841 S Ridge Rd
Green Bay, WI 54304-3938

Phone

(920) 498-3611

Fax

(920) 498-3611

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1063412476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-498-3611",
            "fax_number": "920-498-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-498-3611",
            "fax_number": "920-498-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "GLENN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1698-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoffman Chiropractic L.L.C.
• Chad Matthew Hoffman, D.C
• Dana Hoffman, OTR
• Deanice Hoffman, SAC-IT
• Erika L Hoffman, OT
• Julie Hoffman, LPC
• Kimberly J Hoffman, FNP-C
• Kirsta Lee Hoffman, MD
• Regin Lee Hoffman
• Aundrea Hoffmann, PT, DPT

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.