Provider Demographics
NPI:1790296119
Name:HOEHN, STEVEN PAUL (RPH, MBA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PAUL
Last Name:HOEHN
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N PATRICK BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-5854
Mailing Address - Country:US
Mailing Address - Phone:262-395-4658
Mailing Address - Fax:262-395-4664
Practice Address - Street 1:150 N PATRICK BLVD STE 250
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-5854
Practice Address - Country:US
Practice Address - Phone:262-395-4658
Practice Address - Fax:262-395-4664
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10785-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist