Hoback, Nanette M
Hoback, Nanette M is an sole proprietor health care provider with primary practice located at 7502 Diplomat Dr Suite 101, Manassas VA 20109-2631. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hoback, Nanette M can be contacted via phone (703) 401-5875.Contact Information
Primary practice address
7502 Diplomat Dr Suite 101
Manassas VA 20109-2631
Phone: (703) 401-5875
Fax: (703) 791-9974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904002586 | Virginia |
Profile Details
| NPI number | 1104023811 |
|---|---|
| LBN Legal business name | Hoback, Nanette M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Oct 2nd, 2008 - about 17 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 | 1104023811 | NPPES |
| Virginia | MEDICAID | 1104023811 |
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