Provider Demographics
NPI:1831501691
Name:HOVEMEYER, CARLETTA SUE (MIDWIFE)
Entity type:Individual
Prefix:
First Name:CARLETTA
Middle Name:SUE
Last Name:HOVEMEYER
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 MULLENS BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4302
Mailing Address - Country:US
Mailing Address - Phone:304-628-2647
Mailing Address - Fax:
Practice Address - Street 1:1256 MULLENS BRANCH RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-4302
Practice Address - Country:US
Practice Address - Phone:304-628-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
Provider Identifiers
StateIdentifier IDID TypeIssuer
17500000OtherMIDWIFE LAY