Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101237539 | VA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101237539 | VA |
NPI | 1083707905 |
---|---|
Provider Name | Jason R Hull |
First Address | Richmond, VA 23255-1690 |
Second Address | Richmond, VA 23226-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 15/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010184771 541581185 | (05) | VA |
I19325 | (02) | VA |