Provider Demographics
NPI:1306804521
Name:HOAG, CATHERINE LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LOUISE
Last Name:HOAG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6521 CREEDMOOR RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3668
Mailing Address - Country:US
Mailing Address - Phone:919-845-7279
Mailing Address - Fax:919-845-7848
Practice Address - Street 1:6521 CREEDMOOR RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3668
Practice Address - Country:US
Practice Address - Phone:919-845-7279
Practice Address - Fax:919-845-7848
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU69318Medicare UPIN
NC2451745AMedicare ID - Type Unspecified