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NPI Code Detail

MEDICARE: RICHARD L HOCKENBERRY LISW

MEDICARE: RICHARD L HOCKENBERRY LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerI.0010091OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000387058OTHEROHANTHEM PIN
2I 0010091OTHEROHLICENSE

General Provider Information

NPI Number : 1902870447
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD L HOCKENBERRY LISW
Provider Business Mailing Address
First Line : 131 N EWING ST
Second Line : STE B
City : LANCASTER
State : OH
Zip : 43130-3383
Country : US
Telephone Number : 740-689-6700
Fax Number : 740-689-6702
Provider Business Practice Location Address
First Line : 131 N EWING ST
Second Line : UNIT B
City : LANCASTER
State : OH
Zip : 43130-3383
Country : US
Telephone Number : 740-689-6700
Fax Number : 740-689-6702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 12/30/2014

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