Provider Demographics
NPI:1952822124
Name:HOEHNE, BRIDGET MARY
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:MARY
Last Name:HOEHNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 AMSTERDAM RD
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-9307
Mailing Address - Country:US
Mailing Address - Phone:937-710-3940
Mailing Address - Fax:
Practice Address - Street 1:9600 AMSTERDAM RD
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-9307
Practice Address - Country:US
Practice Address - Phone:937-710-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0216903Medicaid