Individual
JACQUELINE CELESTE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 STATESMAN DR, C/O STAFFCARE, INC., IRVING, TX 75063-2414
(800) 685-2272
(972) 983-0254
Mailing address
PORZELLANGASSE 19/2/1, VIENNA, VIENNA 1090
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
171821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171821
MEDICAL LICENSE
NY
01
—
2005025948
MEDICAL LICENSE
MO
Enumeration date
07/16/2007
Last updated
07/16/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us