Provider Demographics
NPI:1144317066
Name:HOSKINS, MICHAEL (TECHNICIANS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:TECHNICIANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 LEE RD
Mailing Address - Street 2:
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02542-1313
Mailing Address - Country:US
Mailing Address - Phone:508-968-6579
Mailing Address - Fax:508-968-6571
Practice Address - Street 1:COMDT (CG-1122), U.S. COAST GUARD
Practice Address - Street 2:2100 2ND ST SW, SUITE 5314
Practice Address - City:WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20593
Practice Address - Country:US
Practice Address - Phone:508-968-6579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24720000X247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA24720000XOtherTECHNICIAN