Bockbrader, Marcia Aileen

Bockbrader, Marcia Aileen is an individual health care provider with primary practice located at 2929 Kenny Rd Ste 100 , Columbus OH 43221-2415. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Research Study, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Technologists, Technicians & Other Technical Service Providers / EEG, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Bockbrader, Marcia Aileen can be contacted via phone (614) 670-4000.

Contact Information

Primary practice address
2929 Kenny Rd Ste 100 Columbus OH 43221-2415
Phone: (614) 670-4000
Fax: (614) 482-4938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X 35120118 Ohio
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35120118 Ohio

Profile Details

NPI number 1356578710
LBN Legal business name Bockbrader, Marcia Aileen
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Oct 25th, 2023 - about last year

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 1356578710 NPPES
Ohio MEDICAID PENDING

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