Provider Demographics
NPI:1548782113
Name:HITCHCOCK, VICTORIA ANN
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ANN
Last Name:HITCHCOCK
Suffix:
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 1:106 SOJOURNER LN
Mailing Address - Street 2:
Mailing Address - City:CLEAR BROOK
Mailing Address - State:VA
Mailing Address - Zip Code:22624-1145
Mailing Address - Country:US
Mailing Address - Phone:540-665-9598
Mailing Address - Fax:540-323-7374
Practice Address - Street 1:106 SOJOURNER LANE
Practice Address - Street 2:
Practice Address - City:CLEAR BROOK
Practice Address - State:VA
Practice Address - Zip Code:22624-1145
Practice Address - Country:US
Practice Address - Phone:540-665-9598
Practice Address - Fax:540-323-7374
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA476343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)