Provider Demographics
NPI:1487673737
Name:HOCH, RONALD SHELDON (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SHELDON
Last Name:HOCH
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 1:325 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-3717
Mailing Address - Country:US
Mailing Address - Phone:570-759-3904
Mailing Address - Fax:570-759-6555
Practice Address - Street 1:325 N MARKET ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-3717
Practice Address - Country:US
Practice Address - Phone:570-759-3904
Practice Address - Fax:570-759-6555
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003673-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011624330001Medicaid
T29588Medicare UPIN
145660NPDMedicare ID - Type Unspecified