Provider Demographics
NPI:1689485674
Name:HODGE, JUNE ELIZABETH (CD)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:ELIZABETH
Last Name:HODGE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:MRS
Other - First Name:JUNE
Other - Middle Name:E
Other - Last Name:HODGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD
Mailing Address - Street 1:3101 SPLITROCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1985
Mailing Address - Country:US
Mailing Address - Phone:614-353-3707
Mailing Address - Fax:
Practice Address - Street 1:3101 SPLITROCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-1985
Practice Address - Country:US
Practice Address - Phone:614-353-3707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDOU.000097374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula