Bedell, James Laurence

Bedell, James Laurence is an individual health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bedell, James Laurence can be contacted via phone (209) 735-5000.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS017547 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 20A16235 California

Profile Details

NPI number 1033405246
LBN Legal business name Bedell, James Laurence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2011
Last updated Dec 17th, 2021 - about 4 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 1033405246 NPPES
Pennsylvania MEDICAID 103014610

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