Provider Demographics
NPI:1245352236
Name:HOKE, GEORGE (OMD, LAC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:HOKE
Suffix:
Gender:M
Credentials:OMD, LAC
Other - Prefix:DR
Other - First Name:NED
Other - Middle Name:
Other - Last Name:HOKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OMD,LAC
Mailing Address - Street 1:166 W NAPA ST
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6625
Mailing Address - Country:US
Mailing Address - Phone:707-996-4511
Mailing Address - Fax:
Practice Address - Street 1:166 W NAPA ST
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6625
Practice Address - Country:US
Practice Address - Phone:707-996-4511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1283204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC1283OtherACUPUNCTURE