Provider Demographics
NPI:1083480990
Name:HODGES, DONOVAN FRANKLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:DONOVAN
Middle Name:FRANKLIN
Last Name:HODGES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 CHUTE RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4116
Mailing Address - Country:US
Mailing Address - Phone:207-577-0354
Mailing Address - Fax:
Practice Address - Street 1:8 JESSE ROBBINS RD
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7510
Practice Address - Country:US
Practice Address - Phone:207-338-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2966111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation