Basic Information
Provider Information
NPI: 1194105023
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOHMAN
FirstName: PAUL
MiddleName: WILLIAM
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
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Mailing Information
Address1: 200 CORPORATE BLVD
Address2:  
City: LAFAYETTE
State: LA
PostalCode: 705083870
CountryCode: US
TelephoneNumber: 8008939698
FaxNumber:  
Practice Location
Address1: 1 MEDICAL PARK
Address2:  
City: WHEELING
State: WV
PostalCode: 26003
CountryCode: US
TelephoneNumber: 3042433000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2015
LastUpdateDate: 09/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X3258WVY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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