Healthcare Provider Details

I. General information

NPI: 1104883453
Provider Name (Legal Business Name): PETER JAMES HOHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 30TH AVE S APT 1
SEATTLE WA
98144-2560
US

IV. Provider business mailing address

527 30TH AVE S APT 1
SEATTLE WA
98144-2560
US

V. Phone/Fax

Practice location:
  • Phone: 206-437-6654
  • Fax:
Mailing address:
  • Phone: 206-437-6654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00023891
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: