Individual
JACQULLINE ANN HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
153 LEO LN, WASHINGTON, WV 26181-8466
(740) 371-0731
Mailing address
1234 PUTNAM HOWE DR, BELPRE, OH 45714-2226
(740) 371-0731
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
27293
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630435
WORKMANS COMP
—
05
—
630435
—
WV
Enumeration date
10/21/2022
Last updated
10/21/2022
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