Individual
TERESA A HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
406 E 1ST ST, TRENTON, NE 69044-1715
(308) 334-5155
(308) 334-5144
Mailing address
307 ELIZABETH LN, MCCOOK, NE 69001-2228
(308) 345-5696
(308) 334-5144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
720
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38521
BLUE CROSS
NE
Enumeration date
02/21/2007
Last updated
07/08/2007
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