Hodges, Amanda L

Hodges, Amanda L is an individual health care provider with primary practice located at 1325 Louisville Ave , Monroe LA 71201-6021. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hodges, Amanda L can be contacted via phone (318) 807-1500.

Contact Information

Primary practice address
1325 Louisville Ave Monroe LA 71201-6021
Phone: (318) 807-1500
Fax: (318) 807-1504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2027 Louisiana

Profile Details

NPI number 1376890251
LBN Legal business name Hodges, Amanda L
Credentials RD - LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Mar 13th, 2019 - about 7 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 1376890251 NPPES
Louisiana MEDICAID 2373587

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