Hodge, Mark Anthony

Hodge, Mark Anthony is an individual health care provider with primary practice located at 351 Court St , Abingdon VA 24210-2921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hodge, Mark Anthony can be contacted via phone (276) 676-7127.

Contact Information

Primary practice address
351 Court St Abingdon VA 24210-2921
Phone: (276) 676-7127
Fax: (276) 676-9366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024167636 Virginia

Profile Details

NPI number 1851576474
LBN Legal business name Hodge, Mark Anthony
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Jan 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851576474 NPPES
Virginia Other 0024167636 STATE LICENSE

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