Hodge, Oliver Lee
Hodge, Oliver Lee is an sole proprietor health care provider with primary practice located at 235 Westlake Rd Suite 101, Fayetteville NC 28314-4863. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hodge, Oliver Lee can be contacted via phone (910) 483-0409.Contact Information
Primary practice address
235 Westlake Rd Suite 101
Fayetteville NC 28314-4863
Phone: (910) 483-0409
Fax: (910) 426-2749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5995 | North Carolina |
Profile Details
| NPI number | 1669406203 |
|---|---|
| LBN Legal business name | Hodge, Oliver Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 17th, 2013 - about 11 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 | 1669406203 | NPPES |
| North Carolina | MEDICAID | 1669406203 |
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