Healthcare Provider Details

I. General information

NPI: 1518532662
Provider Name (Legal Business Name): JOHN HOHEIM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12581 BALSAM ROOT
LOLO MT
59847-5984
US

IV. Provider business mailing address

336 FAIRGROUNDS RD
HAMILTON MT
59840-3126
US

V. Phone/Fax

Practice location:
  • Phone: 406-531-5661
  • Fax:
Mailing address:
  • Phone: 406-375-9034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: