Hodge, Mary Beth
Hodge, Mary Beth is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd Suite 110, Knoxville TN 37922-3355. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hodge, Mary Beth can be contacted via phone (865) 558-4491.Contact Information
Primary practice address
260 Fort Sanders West Blvd Suite 110
Knoxville TN 37922-3355
Phone: (865) 558-4491
Fax: (865) 558-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1807 | Tennessee |
Profile Details
| NPI number | 1164486536 |
|---|---|
| LBN Legal business name | Hodge, Mary Beth |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164486536 | NPPES |
| Tennessee | Other | 4111080 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 3645932 | BLUE CROSS BLUE SHIELD |
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