Hodge, Michael J

Hodge, Michael J is an individual health care provider with primary practice located at 2333 Knob Creek Rd Ste 16 , Johnson City TN 37604-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hodge, Michael J can be contacted via phone (423) 975-0764.

Contact Information

Primary practice address
2333 Knob Creek Rd Ste 16 Johnson City TN 37604-2007
Phone: (423) 975-0764
Fax: (423) 975-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD024554 Tennessee

Profile Details

NPI number 1588641187
LBN Legal business name Hodge, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jun 3rd, 2024 - about last year

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 1588641187 NPPES
Tennessee MEDICAID 3076076

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