Hodgkin, Douglas David

Hodgkin, Douglas David is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Hodgkin, Douglas David can be contacted via phone (651) 254-4887.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 40006 Minnesota

Profile Details

NPI number 1154384071
LBN Legal business name Hodgkin, Douglas David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 31st, 2019 - about 5 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 1154384071 NPPES
Minnesota MEDICAID 959814600

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