Provider Demographics
NPI:1922049717
Name:HOVE, PHILIP A (DO)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:HOVE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4012
Mailing Address - Country:US
Mailing Address - Phone:717-569-1709
Mailing Address - Fax:
Practice Address - Street 1:1842 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4012
Practice Address - Country:US
Practice Address - Phone:717-569-1709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012575L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231265004OtherEIN
PAI48796Medicare UPIN
PA097540Q9LMedicare ID - Type Unspecified