Individual
ANKE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5849 HARBOUR VIEW BLVD STE 250, SUFFOLK, VA 23435-3769
(757) 337-4018
Mailing address
1024 CENTERBROOKE LANE, PMB 412 SUITE F, SUFFOLK, VA 23434
(757) 337-4018
(757) 337-4019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101237295
VA
207R00000X
Internal Medicine Physician
Primary
0101237295
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003 -028
TRICARE/CHAMPUS
VA
01
—
05949
NC BC BS
NC
01
—
10018878
SENTARA/OPTIMA
VA
05
—
1437137742
—
VA
01
—
2180414
UHC/MAMSI
VA
01
—
289897
ANTHEM/GHENT
VA
01
—
289907
ANTHEM PFM
VA
01
—
3162622
UHC/MAMSI (INTERNAL MEDICINE)
VA
05
—
5905949
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
01/06/2006
Last updated
11/03/2020
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