Hodges, Lori Hundley

Hodges, Lori Hundley is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hodges, Lori Hundley can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6404
Phone: (540) 982-2463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002208 Virginia

Profile Details

NPI number 1073651964
LBN Legal business name Hodges, Lori Hundley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 19th, 2013 - about 12 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 1073651964 NPPES
Virginia MEDICAID 010397782
Virginia MEDICAID 010397821
Virginia MEDICAID 010397855
Virginia Other 1068473

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