Hodson, Gregory R.
Hodson, Gregory R. is an individual health care provider with primary practice located at 2225 Teton Plz Ste B, Idaho Falls ID 83404-6494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hodson, Gregory R. can be contacted via phone (208) 524-4660.Contact Information
Primary practice address
2225 Teton Plz Ste B
Idaho Falls ID 83404-6494
Phone: (208) 524-4660
Fax: (208) 524-4617
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M6479 | Idaho |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01076326A | Indiana |
Profile Details
NPI number | 1164426771 |
---|---|
LBN Legal business name | Hodson, Gregory R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Jul 26th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164426771 | NPPES |
Indiana | Other | 000001021963 | ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653 |
Indiana | MEDICAID | 201352320 | ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653 |
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