Provider Demographics
NPI:1760559975
Name:HOOT, JOHN HOWARD II (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HOWARD
Last Name:HOOT
Suffix:II
Gender:M
Credentials:DC
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Mailing Address - Street 1:40900 MERCHANTS LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-3700
Mailing Address - Country:US
Mailing Address - Phone:301-880-7212
Mailing Address - Fax:301-880-7286
Practice Address - Street 1:40900 MERCHANTS LN
Practice Address - Street 2:SUITE 101
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3700
Practice Address - Country:US
Practice Address - Phone:301-880-7212
Practice Address - Fax:301-880-7286
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD03504111N00000X
MDS03504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDV12067Medicare UPIN