Healthcare Provider Details

I. General information

NPI: 1780621680
Provider Name (Legal Business Name): LINDA F HOHENBERGER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5085 MONROE ST
TOLEDO OH
43623-3455
US

IV. Provider business mailing address

1180 N MONROE ST
MONROE MI
48162-3190
US

V. Phone/Fax

Practice location:
  • Phone: 419-776-4000
  • Fax: 419-776-1032
Mailing address:
  • Phone: 734-243-5300
  • Fax: 734-243-9956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704093833
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number01265
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: