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
Phone: (501) 224-5220
Fax: (501) 228-9828
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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