Individual
NICHOLAS B HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
52695 SPORN DR, SOUTH BEND, IN 46635-1228
(260) 221-0214
Mailing address
52695 SPORN DR, SOUTH BEND, IN 46635-1228
(260) 221-0214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001557A
IN
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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