Provider Demographics
NPI:1013511443
Name:HOKE, TERESA SUE
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:SUE
Last Name:HOKE
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 1:8530 FLICK RD
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-8766
Mailing Address - Country:US
Mailing Address - Phone:937-689-2787
Mailing Address - Fax:
Practice Address - Street 1:8530 FLICK RD
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-8766
Practice Address - Country:US
Practice Address - Phone:937-689-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty