Hodges, Christopher Ray

Hodges, Christopher Ray is an individual health care provider with primary practice located at 2603 Kentucky Ave Suite 304, Paducah KY 42003-3814. 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. Hodges, Christopher Ray can be contacted via phone (270) 415-4800.

Contact Information

Primary practice address
2603 Kentucky Ave Suite 304 Paducah KY 42003-3814
Phone: (270) 415-4800
Fax: (270) 415-4801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA069 Kentucky

Profile Details

NPI number 1184615080
LBN Legal business name Hodges, Christopher Ray
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 4th, 2020 - about 5 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 1184615080 NPPES
Kentucky MEDICAID 95001392

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