Individual
JOSEPH GERARD HOFFERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1828 165TH ST STE A, HAMMOND, IN 46320-2823
(219) 763-8112
(219) 844-9006
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001623
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191360058
MEDICARE PTAN
IN
05
—
300046583
—
IN
Enumeration date
03/14/2007
Last updated
07/20/2021
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