Hodges, Matthew Graen

Hodges, Matthew Graen is an individual health care provider with primary practice located at 3205 Woodman Dr , Dayton OH 45420-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hodges, Matthew Graen can be contacted via phone (937) 298-4417.

Contact Information

Primary practice address
3205 Woodman Dr Dayton OH 45420-1143
Phone: (937) 298-4417
Fax: (937) 298-8260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS012397 Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 34-00-8814-H Ohio

Profile Details

NPI number 1639194871
LBN Legal business name Hodges, Matthew Graen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 9th, 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 1639194871 NPPES
Ohio MEDICAID 2668699

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