Provider Demographics
NPI:1588731780
Name:HOHF, KEITH ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:ARTHUR
Last Name:HOHF
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 1:1124 GRATIOT BLVD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48040-1133
Mailing Address - Country:US
Mailing Address - Phone:810-388-9199
Mailing Address - Fax:810-388-9176
Practice Address - Street 1:1124 GRATIOT BLVD
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-1133
Practice Address - Country:US
Practice Address - Phone:810-388-9199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKH008035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU81145Medicare UPIN
MI0N14690Medicare ID - Type Unspecified