Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 036080260 | IL |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036080260 | ND |
N | 2080P0210X | Pediatric Nephrologist | 01082110 | IN |
NPI | 1770558033 |
---|---|
Provider Name | James Hocker |
First Address | Fargo, ND 58103-4940 |
Second Address | Fargo, ND 58103-6132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 09/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036080260 | (05) | IL |
07215036 | BCBS (01) | IL |
IL01AI | JOHN DEERE (01) | IL |