Provider Demographics
NPI:1104984079
Name:CALL, MICHAEL HUTCHINSON (MS,ATC,CSCS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HUTCHINSON
Last Name:CALL
Suffix:
Gender:M
Credentials:MS,ATC,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1126 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1413
Mailing Address - Country:US
Mailing Address - Phone:757-418-3487
Mailing Address - Fax:757-489-1350
Practice Address - Street 1:1126 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-1413
Practice Address - Country:US
Practice Address - Phone:757-418-3487
Practice Address - Fax:757-489-1350
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260007022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2255A2300XMedicaid
VA2255A2300XMedicaid
VA2255A2300XMedicare UPIN