Hodge, Robert Wayne

Hodge, Robert Wayne is an individual health care provider with primary practice located at 160 East Ave , Lockport NY 14094-3835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hodge, Robert Wayne can be contacted via phone (716) 434-6141.

Contact Information

Primary practice address
160 East Ave Lockport NY 14094-3835
Phone: (716) 434-6141
Fax: (716) 434-0594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 184736-7 Kentucky

Profile Details

NPI number 1215989173
LBN Legal business name Hodge, Robert Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 31st, 2012 - about 14 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 1215989173 NPPES
New York MEDICAID 01449485

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