Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 46047 | KY |
N | 111NI0900X | Internist | 46047 | KY |
Y | 207RH0003X | Hematology & Oncology | 46047 | KY |
NPI | 1063730109 |
---|---|
Provider Name | Dr. Jacob S. Hodskins |
First Address | Owensboro, KY 42303-0839 |
Second Address | Owensboro, KY 42303-0839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 26/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201323490 | (05) | IN |
7100265610 | (05) | KY |