Provider Demographics
NPI:1801507058
Name:HOCHULI, SIMON (LAC)
Entity type:Individual
Prefix:
First Name:SIMON
Middle Name:
Last Name:HOCHULI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2001 STOCKINGER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1243
Mailing Address - Country:US
Mailing Address - Phone:320-534-3096
Mailing Address - Fax:320-200-3236
Practice Address - Street 1:2001 STOCKINGER DR STE 101
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1243
Practice Address - Country:US
Practice Address - Phone:320-534-3096
Practice Address - Fax:320-200-3236
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist