Individual
MR. TIMOTHY RICK HOFFMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1141 N MONROE DR, XENIA, OH 45385
(937) 372-8011
(937) 376-6983
Mailing address
3180 KETTERING BLVD, DAYTON, OH 45439-1924
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN144163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000381922
ANTHEM
OH
05
—
0807014
—
OH
01
—
P00265259
RAILROAD MEDICARE
OH
Enumeration date
02/24/2006
Last updated
07/08/2007
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