Hodges, Leroy W

Hodges, Leroy W is an individual health care provider with primary practice located at 1220 Chatburn Ave , Harlan IA 51537-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hodges, Leroy W can be contacted via phone (712) 755-4376.

Contact Information

Primary practice address
1220 Chatburn Ave Harlan IA 51537-2009
Phone: (712) 755-4376
Fax: (712) 755-4347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 66366 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-50086 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 30115 Minnesota

Profile Details

NPI number 1700856432
LBN Legal business name Hodges, Leroy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 28th, 2023 - about 2 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 1700856432 NPPES
Minnesota MEDICAID 961423100

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