ETHAN BAUMHOFF — OIG Excluded Provider (FORREST CITY, AR, 1128a4)
ETHAN BAUMHOFF — OIG Excluded Provider (FORREST CITY, AR, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ETHAN BAUMHOFF; Type: Individual; Provider category: INDIVIDUAL (UNAFFILI.
| Name | ETHAN BAUMHOFF |
|---|---|
| Type | Individual |
| Provider category | INDIVIDUAL (UNAFFILI |
| Specialty | NO KNOWN AFFILIATION |
| City | FORREST CITY |
| State | AR |
| ZIP | 72336 |
| Exclusion authority | 1128a4 |
| Exclusion reason | Felony conviction relating to controlled substances |
| Exclusion date | 2013-04-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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