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
Fax: (413) 582-2472
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417061243 NPPES
Massachusetts MEDICAID 110060193A

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