Individual
CATHERINE JO HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
425 W GRAND AVE STE 2002, DAYTON, OH 45405-4722
(937) 294-3611
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.005127RX
OH
363AS0400X
Surgical Physician Assistant
0010-02080
NC
363AS0400X
Surgical Physician Assistant
Primary
50.0051272RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231295
—
OH
Enumeration date
12/23/2009
Last updated
05/05/2025
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