Hodge, Mark Gunther
Hodge, Mark Gunther is an sole proprietor health care provider with primary practice located at 527 W 400 N , Orem UT 84057-1916. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Hodge, Mark Gunther can be contacted via phone (801) 714-3505.Contact Information
Primary practice address
527 W 400 N
Orem UT 84057-1916
Phone: (801) 714-3505
Fax: (801) 714-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 362373-4102 | Utah |
Profile Details
| NPI number | 1942548060 |
|---|---|
| LBN Legal business name | Hodge, Mark Gunther |
| Credentials | MS,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2013 |
| Last updated | Jan 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942548060 | NPPES |
| Utah | MEDICAID | 870269232033 |
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