Provider Demographics
NPI:1104990746
Name:CHRISTINE L. HOCH ENTERPRISES, INC.
Entity type:Organization
Organization Name:CHRISTINE L. HOCH ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-267-9600
Mailing Address - Street 1:11078 ESTEBAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-8962
Mailing Address - Country:US
Mailing Address - Phone:708-227-9600
Mailing Address - Fax:
Practice Address - Street 1:11078 ESTEBAN DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-8962
Practice Address - Country:US
Practice Address - Phone:708-267-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007916363L00000X
IL038007516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09927172OtherBCBS IL
IL210059Medicare PIN