Healthcare Provider Details

I. General information

NPI: 1144725383
Provider Name (Legal Business Name): ANDREW THOMAS HOHMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 QUAIL HOLLOW DR. SUITE A
LAMBERTVILLE MI
48144
US

IV. Provider business mailing address

3309 QUAIL HOLLOW DR. SUITE A
LAMBERTVILLE MI
48144
US

V. Phone/Fax

Practice location:
  • Phone: 734-856-3400
  • Fax: 734-856-3404
Mailing address:
  • Phone: 734-856-3400
  • Fax: 734-856-3404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301010612
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: