Provider Demographics
NPI:1174614051
Name:HOOK, ERNEST J (DPM)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:J
Last Name:HOOK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1580 CREEKSIDE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3886
Mailing Address - Country:US
Mailing Address - Phone:916-984-7912
Mailing Address - Fax:916-984-7910
Practice Address - Street 1:1580 CREEKSIDE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3886
Practice Address - Country:US
Practice Address - Phone:916-984-7912
Practice Address - Fax:916-984-7910
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2971213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9209019Medicaid
CA9209019Medicaid
000E29710Medicare ID - Type Unspecified
CAT11536Medicare UPIN