Hodge, Charles J

Hodge, Charles J is an individual health care provider with primary practice located at 725 Irving Ave Suite 503, Syracuse NY 13210-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hodge, Charles J can be contacted via phone (315) 464-4470.

Contact Information

Primary practice address
725 Irving Ave Suite 503 Syracuse NY 13210-1603
Fax: (315) 464-5520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 108474 New York

Profile Details

NPI number 1598766685
LBN Legal business name Hodge, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 17th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598766685 NPPES
New York MEDICAID 00462226

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