Hodges, Timothy P
Hodges, Timothy P is an sole proprietor health care provider with primary practice located at 6052 W State St , Boise ID 83703-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hodges, Timothy P can be contacted via phone (208) 955-6500.Contact Information
Primary practice address
6052 W State St
Boise ID 83703-2739
Phone: (208) 955-6500
Fax: (208) 955-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0109 | Idaho |
Profile Details
| NPI number | 1225027253 |
|---|---|
| LBN Legal business name | Hodges, Timothy P |
| Credentials | DO. FAMILY PRACTICE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Dec 28th, 2023 - about 3 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 | 1225027253 | NPPES |
| Idaho | MEDICAID | 1295140648 |
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