MEDICARE: DEBORAH LOEPER HOEHN R.D., L.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	4433	OH

General Provider Information

NPI Number	:	1770816886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LOEPER HOEHN R.D., L.D.

Provider Business Mailing Address
First Line	:	9039 ANTARES AVE
Second Line	:	SUITE C
City	:	COLUMBUS
State	:	OH
Zip	:	43240-4067
Country	:	US
Telephone Number	:	614-847-6008
Fax Number	:	614-847-6022

Provider Business Practice Location Address
First Line	:	9039 ANTARES AVE
Second Line	:	SUITE C
City	:	COLUMBUS
State	:	OH
Zip	:	43240-4067
Country	:	US
Telephone Number	:	614-847-6008
Fax Number	:	614-847-6022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	09/09/2009

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