Hodgman, Nicholas W.

Hodgman, Nicholas W. is an individual health care provider with primary practice located at 4424 E Flamingo Ave Ste 300, Nampa ID 83687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hodgman, Nicholas W. can be contacted via phone (208) 302-0200.

Contact Information

Primary practice address
4424 E Flamingo Ave Ste 300 Nampa ID 83687
Phone: (208) 302-0200
Fax: (208) 302-0255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 38352 Iowa
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X M-14705 Idaho

Profile Details

NPI number 1164439725
LBN Legal business name Hodgman, Nicholas W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 23rd, 2019 - about 6 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 1164439725 NPPES
Other CA3899 RR MEDICARE GROUP
Other POO731202 RR MEDICARE GROUP
Other 71960 RR MEDICARE GROUP

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