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Contact Information

JACK R HUTCHESON JR, MD
2860 JEFFERSON ST SE
ROANOKE, VA24014-3320
 Phone: 540-520-2284
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACK R HUTCHESON JR · (Male)

NPI # 1952377897
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 07/31/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101030873
  • VA Medicaid 5855195
  • VA Other 830006813 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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