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
Phone: (618) 242-4442
Fax: (618) 242-3942
Website:
Health care specialties
Specialty | Code | License # | 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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