Provider Demographics
NPI:1093382665
Name:HOSKIE, QUINTON L
Entity Type:Individual
Prefix:
First Name:QUINTON
Middle Name:L
Last Name:HOSKIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 SCHOOL HOUSE CMNS STE 140
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7510
Mailing Address - Country:US
Mailing Address - Phone:704-918-5494
Mailing Address - Fax:888-467-5573
Practice Address - Street 1:78 BUFFALO AVE NW STE 200-C
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4769
Practice Address - Country:US
Practice Address - Phone:704-918-5494
Practice Address - Fax:888-467-5573
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0161351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical