Provider Demographics
NPI:1760875132
Name:HOSTETLER, RHODA D (LAY MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:RHODA
Middle Name:D
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:LAY MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 77 BOX 391
Mailing Address - Street 2:
Mailing Address - City:BALLARD
Mailing Address - State:WV
Mailing Address - Zip Code:24918
Mailing Address - Country:US
Mailing Address - Phone:304-466-0539
Mailing Address - Fax:
Practice Address - Street 1:HC 77 BOX 391
Practice Address - Street 2:
Practice Address - City:BALLARD
Practice Address - State:WV
Practice Address - Zip Code:24918
Practice Address - Country:US
Practice Address - Phone:304-466-0539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay