Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | NC |
NPI | 1952062853 |
---|---|
Provider Name | D'neil Hoke |
First Address | Winston Salem, NC 27103-3041 |
Second Address | Winston Salem, NC 27103-3041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2022 |
Last Update Date | 04/01/2022 |