Provider Demographics
NPI:1821528159
Name:CHRISTOPHER HODGE DC, PLC
Entity Type:Organization
Organization Name:CHRISTOPHER HODGE DC, PLC
Other - Org Name:HODGE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-682-5060
Mailing Address - Street 1:130 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MI
Mailing Address - Zip Code:49328-5128
Mailing Address - Country:US
Mailing Address - Phone:269-682-5060
Mailing Address - Fax:269-682-5061
Practice Address - Street 1:130 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MI
Practice Address - Zip Code:49328-5128
Practice Address - Country:US
Practice Address - Phone:269-682-5060
Practice Address - Fax:269-682-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty