Hodges, Ellen

Hodges, Ellen is an individual health care provider with primary practice located at 700 Chief Eddie Hoffman Highway , Bethel AK 99559-0287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hodges, Ellen can be contacted via phone (907) 543-6300.

Contact Information

Primary practice address
700 Chief Eddie Hoffman Highway Bethel AK 99559-0287
Fax: (907) 543-6366
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4944 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00043169 Washington

Profile Details

NPI number 1972722304
LBN Legal business name Hodges, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1972722304 NPPES
Alaska MEDICAID MD45901

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