Healthcare Provider Details

I. General information

NPI: 1831501691
Provider Name (Legal Business Name): CARLETTA SUE HOVEMEYER MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 MULLENS BRANCH RD
HUNTINGTON WV
25701-4302
US

IV. Provider business mailing address

1256 MULLENS BRANCH RD
HUNTINGTON WV
25701-4302
US

V. Phone/Fax

Practice location:
  • Phone: 304-628-2647
  • Fax:
Mailing address:
  • Phone: 304-628-2647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: