Hodge, Brandon

Hodge, Brandon is an individual health care provider with primary practice located at 920 W Custer Ave , Pontiac IL 61764-1067. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hodge, Brandon can be contacted via phone (815) 844-6109.

Contact Information

Primary practice address
920 W Custer Ave Pontiac IL 61764-1067
Phone: (815) 844-6109
Fax: (815) 844-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518489699
LBN Legal business name Hodge, Brandon
Credentials MS CANDIDATE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated Sep 10th, 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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