MEDICARE: DR. ALLEN SCOTT HOOVER JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4143	OH

General Provider Information

NPI Number	:	1902104987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN SCOTT HOOVER JR. D.C.

Provider Business Mailing Address
First Line	:	6175 SOM CENTER RD STE 140
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-2941
Country	:	US
Telephone Number	:	440-248-5070
Fax Number	:

Provider Business Practice Location Address
First Line	:	23131 EMERY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5136
Country	:	US
Telephone Number	:	216-514-9590
Fax Number	:	216-514-9592

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	11/23/2022

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