Provider Demographics
NPI:1689775389
Name:HOCKMAN & ASSOCIATES LLC
Entity Type:Organization
Organization Name:HOCKMAN & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:HOCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:304-855-5870
Mailing Address - Street 1:354 AIRPORT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508-9202
Mailing Address - Country:US
Mailing Address - Phone:304-855-5870
Mailing Address - Fax:304-855-5873
Practice Address - Street 1:354 AIRPORT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHAPMANVILLE
Practice Address - State:WV
Practice Address - Zip Code:25508-9202
Practice Address - Country:US
Practice Address - Phone:304-855-5870
Practice Address - Fax:304-855-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDF9249OtherRAILROAD MEDICARE
WVGP4528Medicaid
SCDF9249OtherRAILROAD MEDICARE