Provider Demographics
NPI:1124533773
Name:HINKLE, RICHARD E II (OWNER OF PROVIDER)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:HINKLE
Suffix:II
Gender:M
Credentials:OWNER OF PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:110 GREENSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203
Mailing Address - Country:US
Mailing Address - Phone:318-201-5306
Mailing Address - Fax:318-732-2452
Practice Address - Street 1:110 GREENSIDE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-8955
Practice Address - Country:US
Practice Address - Phone:318-201-5306
Practice Address - Fax:318-732-2452
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)