Provider Demographics
NPI:1063474187
Name:HOCH, ALFREDA ELAINE (RN)
Entity Type:Individual
Prefix:MISS
First Name:ALFREDA
Middle Name:ELAINE
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:RT 1 BOX 585
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:43155
Mailing Address - Country:US
Mailing Address - Phone:740-569-4599
Mailing Address - Fax:740-569-4599
Practice Address - Street 1:HIDE AWAY HILLS ROAD
Practice Address - Street 2:LOT 23
Practice Address - City:HIDE AWAY HILLS
Practice Address - State:OH
Practice Address - Zip Code:43107
Practice Address - Country:US
Practice Address - Phone:740-569-4599
Practice Address - Fax:740-569-4599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN144867163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2512472Medicaid