Provider Demographics
NPI:1447722277
Name:HOCKER, EVAN M
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:M
Last Name:HOCKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 E 133RD AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-1139
Mailing Address - Country:US
Mailing Address - Phone:732-614-6002
Mailing Address - Fax:
Practice Address - Street 1:4760 OAKLAND ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-2732
Practice Address - Country:US
Practice Address - Phone:720-452-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician