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Contact Information

DIANE HODGE
500 N US HIGHWAY 89
PRESCOTT, AZ86313-5001
 Phone: 928-445-4860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DIANE HODGE · (Female)

NPI Number 1699449199
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2021
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 00800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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