Hodgson, Roger E

Hodgson, Roger E is an individual health care provider with primary practice located at 1400 Bellinger St , Eau Claire WI 54703-5222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hodgson, Roger E can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
1400 Bellinger St Eau Claire WI 54703-5222
Phone: (715) 838-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2865 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 281 Wisconsin

Profile Details

NPI number 1295784064
LBN Legal business name Hodgson, Roger E
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 28th, 2009 - about 16 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 1295784064 NPPES
Wisconsin MEDICAID 39190100

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