Provider Demographics
NPI:1205192192
Name:HOEHN, CHARLES JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JOSEPH
Last Name:HOEHN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:140 FOX ROAD
Practice Address - Street 2:STE 104
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-2490
Practice Address - Country:US
Practice Address - Phone:419-232-5291
Practice Address - Fax:419-232-5292
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003593213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0064945Medicaid
OH101850Medicare PIN