Hodge, Mario Donald

Hodge, Mario Donald is an individual health care provider with primary practice located at 1024 Jordan St , Mount Vernon IL 62864-4231. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Hodge, Mario Donald can be contacted via phone (618) 242-4442.

Contact Information

Primary practice address
1024 Jordan St Mount Vernon IL 62864-4231
Fax: (618) 242-3942
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X 212.000161 Illinois

Profile Details

NPI number 1023369501
LBN Legal business name Hodge, Mario Donald
Credentials C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Sep 25th, 2012 - about 13 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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