Individual
THERESA K HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(260) 234-5110
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091879
BLUE CROSS BLUE SHIELD
—
05
—
100332830
—
IN
01
—
P00978940
RAILROAD MEDICARE
IN
Enumeration date
11/07/2005
Last updated
01/09/2025
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