Jodka, Paul G
Jodka, Paul G is an individual health care provider with primary practice located at 30 Locust St , Northampton MA 01060-2052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Jodka, Paul G can be contacted via phone (413) 582-2441.Contact Information
Primary practice address
30 Locust St
Northampton MA 01060-2052
Phone: (413) 582-2441
Fax: (413) 582-2472
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 153137 | Massachusetts |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 153137 | Massachusetts |
Profile Details
NPI number | 1417061243 |
---|---|
LBN Legal business name | Jodka, Paul G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Oct 5th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417061243 | NPPES |
Massachusetts | MEDICAID | 110060193A |
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