Provider Demographics
NPI:1881649127
Name:HODGES, ROBERT JOHN JR (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:HODGES
Suffix:JR
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 1:1041 W LACEY RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1048
Mailing Address - Country:US
Mailing Address - Phone:609-693-9171
Mailing Address - Fax:609-693-9172
Practice Address - Street 1:1041 W LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1048
Practice Address - Country:US
Practice Address - Phone:609-693-9171
Practice Address - Fax:609-693-9172
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00452400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor