Provider Demographics
NPI:1437101243
Name:HOYT, KATHRYN SUZANNE (DC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SUZANNE
Last Name:HOYT
Suffix:
Gender:F
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:PO BOX 836
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:MI
Mailing Address - Zip Code:49615-0836
Mailing Address - Country:US
Mailing Address - Phone:231-533-8638
Mailing Address - Fax:231-533-6773
Practice Address - Street 1:219 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:MI
Practice Address - Zip Code:49615-9589
Practice Address - Country:US
Practice Address - Phone:231-533-8638
Practice Address - Fax:231-533-6773
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP46260001Medicare PIN