Hodes, Eric Michael

Hodes, Eric Michael is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hodes, Eric Michael can be contacted via phone (707) 546-3210.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G61202 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G61202 California

Profile Details

NPI number 1447201900
LBN Legal business name Hodes, Eric Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1447201900 NPPES
California MEDICAID 00G612020

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