Healthcare Provider Details

I. General information

NPI: 1891755690
Provider Name (Legal Business Name): JOHN A HOEHN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 WEST LINCOLN HWY
SCHERERVILLE IN
46375
US

IV. Provider business mailing address

505 WEST LINCOLN HWY
SCHERERVILLE IN
46375
US

V. Phone/Fax

Practice location:
  • Phone: 219-322-3311
  • Fax: 219-322-8210
Mailing address:
  • Phone: 219-322-3311
  • Fax: 219-322-8210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02000872
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: