Healthcare Provider Details

I. General information

NPI: 1023332210
Provider Name (Legal Business Name): HOHF CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 GRATIOT BLVD
MARYSVILLE MI
48040-1184
US

IV. Provider business mailing address

1705 GRATIOT BLVD
MARYSVILLE MI
48040-1184
US

V. Phone/Fax

Practice location:
  • Phone: 810-388-9199
  • Fax: 810-388-9176
Mailing address:
  • Phone: 810-388-9199
  • Fax: 810-388-9176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberKH008035
License Number StateMI

VIII. Authorized Official

Name: MR. KEITH A HOHF
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 810-388-9199