Hodder, Kenneth W
Hodder, Kenneth W is an individual health care provider with primary practice located at 1100 Alameda Blvd Nw , Albuquerque NM 87114-1937. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Hodder, Kenneth W can be contacted via phone (505) 897-7883.Contact Information
Primary practice address
1100 Alameda Blvd Nw
Albuquerque NM 87114-1937
Phone: (505) 897-7883
Fax: (505) 792-8578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I-2148 | New Mexico |
Profile Details
| NPI number | 1912950999 |
|---|---|
| LBN Legal business name | Hodder, Kenneth W |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912950999 | NPPES |
| New Mexico | Other | 105879 | MHN |
| New Mexico | Other | 860663612 0001 | MHN |
| New Mexico | Other | 86066361287114A001 | MHN |
| New Mexico | MEDICAID | NM10005 | MHN |
| New Mexico | Other | 00NM00R32L | MHN |
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