Badcock, John B

Badcock, John B is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Badcock, John B can be contacted via phone (937) 641-3321.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1898
Fax: (937) 641-4410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 34002675 Ohio

Profile Details

NPI number 1205997848
LBN Legal business name Badcock, John B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205997848 NPPES
Ohio Other 000000008378 BCBS ANTHEM
Ohio MEDICAID 0562912 BCBS ANTHEM

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