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Contact Information

LAUREN HODGE, ATC
12 MAIN ST STE 7
ELLINGTON, CT06029-3361
 Phone: 860-872-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for LAUREN HODGE · (Female)

NPI # 1013559657
Status Active
Credentials ATC
Entity Individual
Enumeration date 10/15/2019
Last updated 06/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001243
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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