Provider Demographics
NPI:1578019162
Name:HOSKINS, DILLON (AT, ATC, OTC)
Entity Type:Individual
Prefix:
First Name:DILLON
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:AT, ATC, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 LEE ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-2033
Mailing Address - Country:US
Mailing Address - Phone:740-262-4547
Mailing Address - Fax:
Practice Address - Street 1:535 LEE ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-2033
Practice Address - Country:US
Practice Address - Phone:740-262-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0058822255A2300X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer