Provider Demographics
NPI:1235166174
Name:HOEBEL, ELIZABETH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:HOEBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20116
Mailing Address - Country:US
Mailing Address - Phone:540-364-1581
Mailing Address - Fax:540-364-7314
Practice Address - Street 1:8255 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115-3253
Practice Address - Country:US
Practice Address - Phone:540-364-1581
Practice Address - Fax:540-364-7314
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080054099OtherRAILROAD MEDICARE
4376780OtherAETNA
519487OtherNCPPO
VA088821OtherANTHEM
99870002OtherCARE FIRST
223327OtherMAMSI
VA005606802Medicaid
080054099OtherRAILROAD MEDICARE
080004555Medicare ID - Type Unspecified