Reva Hodge in Gaston - Specialist

Reva Hodge - NPI 1215016209

Reva Hodge is a Specialist in Gaston, Indiana. Reva Hodge practices all healthcare services and medical treatments related to Specialist. The NPI Number for Reva Hodge is 1215016209. The last update date is 2007-07-08.

Reva Hodge's current location address is 12650 W. County Road, Gaston, Indiana. You can contact this provider via phone number 7653584649 and fax number 7653584650. The mailing address for Reva Hodge is 12650 W. County Road, Gaston, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Reva Hodge
Address 12650 W. County Road, Gaston, Indiana
Phone Number 7653584649
Fax Number 7653584650
Sole Proprietor Y
Credentials EDD

NPI Number Detail

NPI Number 1215016209
Provider Enumeration Date 2006-11-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12650 W. County Road
City Gaston
State Indiana (IN)
Post Code 47342
Phone Number 7653584649
Fax Number 7653584650

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No NONE
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Reva Hodge

What is the unique 10-digit identification code assigned to Reva Hodge by the Centers for Medicare & Medicaid Services?

The Reva Hodge has been issued the NPI (National Provider Identifier) 1215016209, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Reva Hodge's facilities are situated?

The facilities of Reva Hodge are physically located at the following address: 12650 W. County Road, Gaston, IN, 47342.

What is the Reva Hodge's specialty and taxonomy code?

The Reva Hodge's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When did the Reva Hodge receive its 1215016209?

The Reva Hodge was issued its 1215016209 on 2006-11-02, which is the date when the organization was assigned this unique identifier.

As of what date were the Reva Hodge's details last updated?

The information pertaining to the Reva Hodge, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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