Provider Demographics
NPI:1326635921
Name:HOOPS, VIRGINIA LOUISE X
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LOUISE
Last Name:HOOPS
Suffix:X
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SILLMAN CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-4240
Mailing Address - Country:US
Mailing Address - Phone:937-520-4998
Mailing Address - Fax:
Practice Address - Street 1:11 SILLMAN CT
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-4240
Practice Address - Country:US
Practice Address - Phone:937-520-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoula
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty