Hodges, Gene K.
Hodges, Gene K. is an sole proprietor health care provider with primary practice located at 2065 E 17Th St Suite A, Idaho Falls ID 83404-8042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Hodges, Gene K. can be contacted via phone (208) 522-3301.Contact Information
Primary practice address
2065 E 17Th St Suite A
Idaho Falls ID 83404-8042
Phone: (208) 522-3301
Fax: (208) 522-3414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | M4937 | Idaho |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | M4937 | Idaho |
Profile Details
NPI number | 1316055320 |
---|---|
LBN Legal business name | Hodges, Gene K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 29th, 2006 |
Last updated | Jan 18th, 2016 - about 9 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 | 1316055320 | NPPES |
Idaho | MEDICAID | 000316100 | |
Idaho | Other | 1117710 |
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