Hodgens, John Bart

Hodgens, John Bart is an individual health care provider with primary practice located at 5325 26Th St W , Bradenton FL 34207-3012. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hodgens, John Bart can be contacted via phone (941) 752-7173.

Contact Information

Primary practice address
5325 26Th St W Bradenton FL 34207-3012
Phone: (941) 752-7173
Fax: (941) 567-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 475 Alabama
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8338 Florida

Profile Details

NPI number 1710106521
LBN Legal business name Hodgens, John Bart
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 9th, 2018 - about 8 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 1710106521 NPPES
Florida MEDICAID 003995100
Florida Other 051075068
Florida MEDICAID 000075068

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