Hodges, Willard Jefferson

Hodges, Willard Jefferson is an individual health care provider with primary practice located at 6116 E Warren Ave , Denver CO 80222-5752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hodges, Willard Jefferson can be contacted via phone (303) 512-0888.

Contact Information

Primary practice address
6116 E Warren Ave Denver CO 80222-5752
Phone: (303) 512-0888
Fax: (303) 512-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 19412 Colorado
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 19412 Colorado

Profile Details

NPI number 1063481216
LBN Legal business name Hodges, Willard Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 11th, 2014 - about 11 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 1063481216 NPPES
Utah MEDICAID Z0733
Utah MEDICAID 01194125
Utah MEDICAID 641656

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