Hodson, Mary Elise

Hodson, Mary Elise is an individual health care provider with primary practice located at 900 Averitt Rd , Greenwood IN 46143-9540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hodson, Mary Elise can be contacted via phone (317) 865-3115.

Contact Information

Primary practice address
900 Averitt Rd Greenwood IN 46143-9540
Fax: (317) 885-1429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01039268A Indiana

Profile Details

NPI number 1073595054
LBN Legal business name Hodson, Mary Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 20th, 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 1073595054 NPPES
Indiana MEDICAID 200002380B

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