Hodson, Gregory R.

Hodson, Gregory R. is an individual health care provider with primary practice located at 2225 Teton Plz Ste B, Idaho Falls ID 83404-6494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hodson, Gregory R. can be contacted via phone (208) 524-4660.

Contact Information

Primary practice address
2225 Teton Plz Ste B Idaho Falls ID 83404-6494
Phone: (208) 524-4660
Fax: (208) 524-4617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X M6479 Idaho
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01076326A Indiana

Profile Details

NPI number 1164426771
LBN Legal business name Hodson, Gregory R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 26th, 2016 - about 10 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 1164426771 NPPES
Indiana Other 000001021963 ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
Indiana MEDICAID 201352320 ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653

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