Hodges, Lisa Bass

Hodges, Lisa Bass is an individual health care provider with primary practice located at 6250 Old Canton Rd Ste 130 , Jackson MS 39211-2946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hodges, Lisa Bass can be contacted via phone (601) 956-7280.

Contact Information

Primary practice address
6250 Old Canton Rd Ste 130 Jackson MS 39211-2946
Phone: (601) 956-7280
Fax: (601) 977-6244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0196 Mississippi

Profile Details

NPI number 1851696561
LBN Legal business name Hodges, Lisa Bass
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2011
Last updated Mar 15th, 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 1851696561 NPPES
Mississippi MEDICAID 00576267

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