Provider Demographics
NPI:1124837596
Name:HOOKER MEDICAL LLC
Entity type:Organization
Organization Name:HOOKER MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-544-8595
Mailing Address - Street 1:11100 CRUSADER LN UNIT 106
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2741
Mailing Address - Country:US
Mailing Address - Phone:757-544-8595
Mailing Address - Fax:
Practice Address - Street 1:11100 CRUSADER LN UNIT 106
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-2741
Practice Address - Country:US
Practice Address - Phone:757-544-8595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health