Healthcare Provider Details

I. General information

NPI: 1588731780
Provider Name (Legal Business Name): KEITH ARTHUR HOHF D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 GRATIOT BLVD
MARYSVILLE MI
48040-1133
US

IV. Provider business mailing address

1124 GRATIOT BLVD
MARYSVILLE MI
48040-1133
US

V. Phone/Fax

Practice location:
  • Phone: 810-388-9199
  • Fax:
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:
Title or Position:
Credential:
Phone: