Hodges, J . Timothy

Hodges, J . Timothy is an individual health care provider with primary practice located at 11415 Executive Center Drive , Little Rock AR 72211-4489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hodges, J . Timothy can be contacted via phone (501) 224-5220.

Contact Information

Primary practice address
11415 Executive Center Drive Little Rock AR 72211-4489
Fax: (501) 228-9828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5203 Arkansas

Profile Details

NPI number 1902802465
LBN Legal business name Hodges, J . Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 21st, 2013 - about 12 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 1902802465 NPPES
Other 080008954 RAILROAD MEDICARE
Other 11164000000 RAILROAD MEDICARE
Other 01-20103 RAILROAD MEDICARE
MEDICAID 105361001 RAILROAD MEDICARE

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