Provider Demographics
NPI:1497177703
Name:HOSMER, JOSEPH (LMT, PA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HOSMER
Suffix:
Gender:M
Credentials:LMT, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7558 LONGMEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9473
Mailing Address - Country:US
Mailing Address - Phone:740-249-1133
Mailing Address - Fax:740-249-1139
Practice Address - Street 1:1005 E STATE ST
Practice Address - Street 2:SUITE H
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2151
Practice Address - Country:US
Practice Address - Phone:740-589-5809
Practice Address - Fax:740-249-1092
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.007750 H-K225700000X
174H00000X, 363A00000X, 172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174H00000XOther Service ProvidersHealth Educator
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1275768061OtherNPPES