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Dr. Gerard Gordon Hofferth, DC
Chiropractor in Mishawaka, Indiana
NPI 1932227196

Gerard Gordon Hofferth is a Chiropractor based in South Bend, IN. Gerard Gordon Hofferth practices in Mishawaka, IN and has the professional credentials of DC. The NPI Number for Gerard Gordon Hofferth is 1932227196 and holds a License No. 08001419 (Indiana).

The current practice location address for Gerard Gordon Hofferth is 826 W Edison Rd, Mishawaka, IN and can be reached out via phone at 574-256-1008.

Location: 826 W Edison Rd, Mishawaka, IN, 46660-6206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932227196
Provider Name
Gerard Gordon Hofferth
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
826 W Edison Rd, Mishawaka, IN, 46660-6206
Phone Number
574-256-1008
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5547648 01 IN AETNA ID#
100093260A 05 IN
000000089658 01 IN BLUE CROSS BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
826 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2744
Phone Number
574-256-1008
Fax Number
person
Provider Business Mailing Address Details
Address
826 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2744
Phone Number
574-256-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001419 (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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