Hodgeman, Paul

Hodgeman, Paul is an individual health care provider with primary practice located at 30 Harrison St Suite 460, Johnson City NY 13790-2161. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hodgeman, Paul can be contacted via phone (607) 763-8101.

Contact Information

Primary practice address
30 Harrison St Suite 460 Johnson City NY 13790-2161
Phone: (607) 763-8101
Fax: (607) 763-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006485 New York

Profile Details

NPI number 1588734024
LBN Legal business name Hodgeman, Paul
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Nov 12th, 2014 - about 10 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 1588734024 NPPES
New York MEDICAID 01965613

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