Hohm, Jean Marie

Hohm, Jean Marie is an individual health care provider with primary practice located at 211 Founders Park Dr Suite 3, Rapid City SD 57701-8098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hohm, Jean Marie can be contacted via phone (605) 791-5959.

Contact Information

Primary practice address
211 Founders Park Dr Suite 3 Rapid City SD 57701-8098
Phone: (605) 791-5959
Fax: (605) 791-5960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CP000223 South Dakota

Profile Details

NPI number 1376572693
LBN Legal business name Hohm, Jean Marie
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376572693 NPPES
South Dakota MEDICAID 6702252

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