| Penny D. Hoffman Llc | |
|
110 N Main St Davidsville PA 15928-9528 | |
| (814) 242-8887 | |
| Not Available |
| Full Name | Penny D. Hoffman Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 110 N Main St, Davidsville, Pennsylvania |
| Authorized Official Name and Position | Penny Hoffman (OWNER) |
| Authorized Official Contact | 8144423330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penny D. Hoffman Llc Po Box 301 Davidsville PA 15928-0301 Ph: (814) 242-8887 | Penny D. Hoffman Llc 110 N Main St Davidsville PA 15928-9528 Ph: (814) 242-8887 |
| NPI Number | 1619675386 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 1951776665 |
|---|---|
| Medicare Enrollment ID | O20230411003001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619675386 | NPI | - | NPPES |
| 1770505034 | Other | PA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Penny Denise Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770505034 PECOS PAC ID: 3173889441 Enrollment ID: I20171102002989 |
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