Jin, Xiao Hong

Jin, Xiao Hong is an individual health care provider with primary practice located at 15 Goodrich Ave , Petersburg VA 23805-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jin, Xiao Hong can be contacted via phone (804) 732-0618.

Contact Information

Primary practice address
15 Goodrich Ave Petersburg VA 23805-2119
Fax: (804) 861-6846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 001714 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101243767 Virginia

Profile Details

NPI number 1679766752
LBN Legal business name Jin, Xiao Hong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Dec 28th, 2022 - about 2 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 1679766752 NPPES
Virginia MEDICAID 1679766752
Virginia Other P00722723

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