Hodge, James

Hodge, James is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Hodge, James can be contacted via phone (321) 434-4225.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-4225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9461696 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X LP-0000348 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R192286 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 008372 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9461696 Florida

Profile Details

NPI number 1558810309
LBN Legal business name Hodge, James
Credentials AG-ANCP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2016
Last updated Nov 10th, 2022 - about 2 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 1558810309 NPPES
Florida Other P2257 MEDICARE HF
Florida MEDICAID 022631800 MEDICARE HF
Florida Other 008372 MEDICARE HF

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