Healthcare Provider Details

I. General information

NPI: 1750348637
Provider Name (Legal Business Name): PAUL M HOOVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 THIRD STREET
BEAVER PA
15009
US

IV. Provider business mailing address

P.O. BOX 555
BELLE VERNON PA
15012
US

V. Phone/Fax

Practice location:
  • Phone: 724-728-2077
  • Fax: 724-728-2113
Mailing address:
  • Phone: 724-728-2077
  • Fax: 724-728-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD039454E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD-039454E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: