Provider Demographics
NPI:1689997629
Name:HOOVER, JAMES ADAM (MAOM, DIPL OM)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ADAM
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MAOM, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 E MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5346
Mailing Address - Country:US
Mailing Address - Phone:337-857-3313
Mailing Address - Fax:
Practice Address - Street 1:2445 E MILTON AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5346
Practice Address - Country:US
Practice Address - Phone:337-857-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAACA.200020171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist