Hodder, Heidi Rose

Hodder, Heidi Rose is an individual health care provider with primary practice located at 1336 Cedar St Ste C , Elmira NY 14904-2951. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hodder, Heidi Rose can be contacted via phone (607) 734-3929.

Contact Information

Primary practice address
1336 Cedar St Ste C Elmira NY 14904-2951
Phone: (607) 734-3929
Fax: (607) 737-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 250626-1 New York

Profile Details

NPI number 1942270970
LBN Legal business name Hodder, Heidi Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 25th, 2021 - about 5 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 1942270970 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York Other P00693903 RR MEDICARE GROUP
New York Other AA0598 RR MEDICARE GROUP
New York MEDICAID 03035334 RR MEDICARE GROUP
New York MEDICAID 1022298340002 RR MEDICARE GROUP

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