Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 11854 | SD |
N | 207X00000X | Orthopaedic Surgeon | DO-05498 | IA |
NPI | 1003217621 |
---|---|
Provider Name | Joshua Hockett |
First Address | Dakota Dunes, SD 57049-5312 |
Second Address | Dakota Dunes, SD 57049-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2014 |
Last Update Date | 07/08/2020 |