Healthcare Provider Details

I. General information

NPI: 1295568053
Provider Name (Legal Business Name): MELISSA R HOCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 MARKET AVE S
CANTON OH
44702-2165
US

IV. Provider business mailing address

733 MARKET AVE S
CANTON OH
44702-2165
US

V. Phone/Fax

Practice location:
  • Phone: 330-489-4600
  • Fax:
Mailing address:
  • Phone: 330-489-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number351520
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: