Provider Demographics
NPI:1184656043
Name:HOEHN, JOHN TIMOTHY (DC, DACO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TIMOTHY
Last Name:HOEHN
Suffix:
Gender:M
Credentials:DC, DACO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 NW 76TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1593
Mailing Address - Country:US
Mailing Address - Phone:352-332-7400
Mailing Address - Fax:352-331-0902
Practice Address - Street 1:330 NW 76TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1593
Practice Address - Country:US
Practice Address - Phone:352-332-7400
Practice Address - Fax:352-331-0902
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7074111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3812267700Medicaid
FL55378Medicare ID - Type Unspecified
FL3812267700Medicaid