Provider Demographics
NPI:1912781485
Name:HOHLE, DAVID D (CSB)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:HOHLE
Suffix:
Gender:M
Credentials:CSB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E 13TH ST APT 2203
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3261
Mailing Address - Country:US
Mailing Address - Phone:312-659-9525
Mailing Address - Fax:
Practice Address - Street 1:233 E 13TH ST APT 2203
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3261
Practice Address - Country:US
Practice Address - Phone:312-659-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner