Hodges, Dwayne

Hodges, Dwayne is an sole proprietor health care provider with primary practice located at 4230 11Th St , Rock Island IL 61201-6746. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hodges, Dwayne can be contacted via phone (309) 788-4571.

Contact Information

Primary practice address
4230 11Th St Rock Island IL 61201-6746
Phone: (309) 788-4571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1265930283
LBN Legal business name Hodges, Dwayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2018
Last updated Jan 24th, 2018 - about 7 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.

Request for update

Popular Providers