Provider Demographics
NPI:1457141590
Name:HODSON, MICHAEL D
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:HODSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:D
Other - Last Name:HODSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:305 FITCH ST
Mailing Address - Street 2:
Mailing Address - City:HERMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68029-5206
Mailing Address - Country:US
Mailing Address - Phone:402-533-4092
Mailing Address - Fax:
Practice Address - Street 1:305 FITCH ST
Practice Address - Street 2:
Practice Address - City:HERMAN
Practice Address - State:NE
Practice Address - Zip Code:68029-5206
Practice Address - Country:US
Practice Address - Phone:402-533-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide