Healthcare Provider Details

I. General information

NPI: 1124909734
Provider Name (Legal Business Name): ALEX J HOHENSEE PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 NORTH ST STE A
ELKTON MD
21921-5551
US

IV. Provider business mailing address

PO BOX 309
ELKTON MD
21922-0309
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-8899
  • Fax: 410-398-1477
Mailing address:
  • Phone: 410-398-8899
  • Fax: 410-398-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: