Healthcare Provider Details
I. General information
NPI: 1386969681
Provider Name (Legal Business Name): ZSOFIA V HOLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2010
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2006 HEALTH CAMPUS DR
ROCKINGHAM VA
22801-8679
US
IV. Provider business mailing address
PO BOX 1430
HARRISONBURG VA
22803-1430
US
V. Phone/Fax
- Phone: 540-689-5400
- Fax: 757-579-8568
- Phone: 540-689-5400
- Fax: 757-579-8568
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 0101255519 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: