Provider Demographics
NPI:1396895686
Name:HOCHMAN, IAN B (DC)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:B
Last Name:HOCHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13714 SW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3977
Mailing Address - Country:US
Mailing Address - Phone:954-441-2557
Mailing Address - Fax:
Practice Address - Street 1:2230 NE 123RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2904
Practice Address - Country:US
Practice Address - Phone:305-899-0777
Practice Address - Fax:305-899-0816
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL668-369OtherACN NUMBER
FLVO2284Medicare UPIN