Hallock, Virginia A
Hallock, Virginia A is an individual health care provider with primary practice located at 1115 Lexington Ave , Savannah GA 31404-5502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hallock, Virginia A can be contacted via phone (912) 354-4813.Contact Information
Primary practice address
1115 Lexington Ave
Savannah GA 31404-5502
Phone: (912) 354-4813
Fax: (912) 354-7569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R039856 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R00079381 | South Carolina |
Profile Details
| NPI number | 1649272691 |
|---|---|
| LBN Legal business name | Hallock, Virginia A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Aug 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649272691 | NPPES |
| Georgia | MEDICAID | 00929255A | |
| Georgia | MEDICAID | NP0564 |
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