Hutcheson, Jack R.

Hutcheson, Jack R. is an sole proprietor health care provider with primary practice located at 2860 Jefferson St Se , Roanoke VA 24014-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hutcheson, Jack R. can be contacted via phone (540) 520-2284.

Contact Information

Primary practice address
2860 Jefferson St Se Roanoke VA 24014-3320
Phone: (540) 520-2284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101030873 Virginia

Profile Details

NPI number 1952377897
LBN Legal business name Hutcheson, Jack R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Jul 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952377897 NPPES
Virginia MEDICAID 5855195
Virginia Other 830006813

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