Healthcare Provider Details

I. General information

NPI: 1083480990
Provider Name (Legal Business Name): DONOVAN FRANKLIN HODGES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2023
Last Update Date: 12/01/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 JESSE ROBBINS RD
BELFAST ME
04915-7510
US

IV. Provider business mailing address

89 CHUTE RD
WINDHAM ME
04062-4116
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-8994
  • Fax:
Mailing address:
  • Phone: 207-577-0354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCR2966
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR2966
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: