Provider Demographics
NPI:1013908144
Name:HODGINS, BART W (DC)
Entity Type:Individual
Prefix:MR
First Name:BART
Middle Name:W
Last Name:HODGINS
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 1:802 FAIRVIEW RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ASHERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-298-5435
Mailing Address - Fax:828-298-5822
Practice Address - Street 1:802 FAIRVIEW RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ASHERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-298-5435
Practice Address - Fax:828-298-5822
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2607111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890842XMedicaid
NC616278OtherACN
NC0842XOtherBCBS
NC616278OtherACN