Doctor Name: | JONI HODGSON |
NPI Number: | 1417120569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 58002396 |
Business Practice Address: | 400 Austin Ave Nw Massillon, OH - 446463554 |
Business Phone Number: | 3308377200 |
Business Fax Number: | 3308377318 |
Mailing Address: | 400 Austin Ave Nw, MASSILLON |
State: | OH |
Postal Code: | 446463554 |
Phone Number: | 3308377200 |
Fax Number: | 3308377318 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 58002396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |