Provider Demographics
NPI:1386879179
Name:HOCH, COLLEEN S (RN)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:S
Last Name:HOCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 BOARD DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2817
Mailing Address - Country:US
Mailing Address - Phone:330-928-4135
Mailing Address - Fax:330-929-5709
Practice Address - Street 1:3351 BOARD DR
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2817
Practice Address - Country:US
Practice Address - Phone:330-928-4135
Practice Address - Fax:330-929-5709
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 082135163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2A-3-4A-5OtherEMPLOYEE IDENTIFICATION NUMBER