Hoang, Jacqueline Kim

Hoang, Jacqueline Kim is an individual health care provider with primary practice located at 5502 Backlick Rd , Springfield VA 22151-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hoang, Jacqueline Kim can be contacted via phone (703) 642-8306.

Contact Information

Primary practice address
5502 Backlick Rd Springfield VA 22151-3904
Fax: (703) 642-8342
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101053611 Virginia

Profile Details

NPI number 1063545655
LBN Legal business name Hoang, Jacqueline Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 25th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063545655 NPPES
Virginia MEDICAID 006727085

Popular Providers