Hodges, Amy
Hodges, Amy is an individual health care provider with primary practice located at 172 Highway 62 W , Salem AR 72576-8059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hodges, Amy can be contacted via phone (870) 895-2735.Contact Information
Primary practice address
172 Highway 62 W
Salem AR 72576-8059
Phone: (870) 895-2735
Fax: (870) 895-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | A004837 | Arkansas |
Profile Details
| NPI number | 1194178376 |
|---|---|
| LBN Legal business name | Hodges, Amy |
| Credentials | APRN, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Nov 16th, 2017 - about 8 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 | 1194178376 | NPPES |
| Arkansas | MEDICAID | 215618758 |
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