Healthcare Provider Details

I. General information

NPI: 1558961326
Provider Name (Legal Business Name): DAVID C HOHMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 TALLMADGE RD
KENT OH
44240-7204
US

IV. Provider business mailing address

250 TALLMADGE RD
KENT OH
44240-7204
US

V. Phone/Fax

Practice location:
  • Phone: 330-673-3368
  • Fax:
Mailing address:
  • Phone: 330-673-3368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03112223
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: