Nicholas B Hoover, ATC
Specialist/Technologist, Athletic Trainer in South Bend, IN. Individual provider (NPI-1).
NPI number1043776321
StatusActive
Last updated in NPPESFeb 12, 2019
Details
- NPI
- 1043776321
- Entity type
- Individual (NPI-1)
- Name
- Nicholas B Hoover
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2019
- Last updated
- Feb 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36001557A | IN | Yes |
Practice location
52695 Sporn DrSouth Bend, IN 46635-1228
Phone 260-221-0214
Mailing address
52695 Sporn DrSouth Bend, IN 46635-1228
Phone 260-221-0214
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