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
Fax: (208) 522-3414
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316055320 NPPES
Idaho MEDICAID 000316100
Idaho Other 1117710

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