Healthcare Provider Details

I. General information

NPI: 1780153726
Provider Name (Legal Business Name): HOKE MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1454 MARKET ST
CHARLESTOWN IN
47111-1839
US

IV. Provider business mailing address

3901 COUNTY ROAD 160
CHARLESTOWN IN
47111-9181
US

V. Phone/Fax

Practice location:
  • Phone: 812-503-5071
  • Fax: 812-503-5076
Mailing address:
  • Phone: 812-503-5071
  • Fax: 812-503-5076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM E HOKE JR.
Title or Position: OWNER
Credential: MD
Phone: 812-503-5071