Hines, John L
Hines, John L is an individual health care provider with primary practice located at 5296 Peters Creek Rd , Roanoke VA 24019-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hines, John L can be contacted via phone (540) 855-5100.Contact Information
Primary practice address
5296 Peters Creek Rd
Roanoke VA 24019-3808
Phone: (540) 855-5100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101043707 | Virginia |
Profile Details
NPI number | 1316942253 |
---|---|
LBN Legal business name | Hines, John L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Feb 4th, 2010 - about 15 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 | 1316942253 | NPPES |
Virginia | MEDICAID | 006302289 |
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