Hockenberry, Lori L

Hockenberry, Lori L is an individual health care provider with primary practice located at 5734 Coventry Lane , Fort Wayne IN 46804-7141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hockenberry, Lori L can be contacted via phone (260) 436-7875.

Contact Information

Primary practice address
5734 Coventry Lane Fort Wayne IN 46804-7141
Phone: (260) 436-7875
Fax: (260) 432-9812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN226280 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28100297 Indiana

Profile Details

NPI number 1407840721
LBN Legal business name Hockenberry, Lori L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 4th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407840721 NPPES
Ohio Other 000000209221 ANTHEM BC/BS
Ohio Other 34195975700 ANTHEM BC/BS
Ohio Other 3419597570004 ANTHEM BC/BS
Ohio MEDICAID 2191686 ANTHEM BC/BS
Ohio Other 430065384 ANTHEM BC/BS

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