Healthcare Provider Details

I. General information

NPI: 1992966857
Provider Name (Legal Business Name): WESLEY JOHN HOHMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W LAKEVIEW AVE STE 1040
LAKE MARY FL
32746-2903
US

IV. Provider business mailing address

142 W LAKEVIEW AVE STE 1040
LAKE MARY FL
32746-2903
US

V. Phone/Fax

Practice location:
  • Phone: 407-936-9474
  • Fax: 407-936-9473
Mailing address:
  • Phone: 407-936-9474
  • Fax: 407-936-9473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9478
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: