Bodalia, Krystina

Bodalia, Krystina is an individual health care provider with primary practice located at 6939 Cox Rd Ste 360 , Liberty Township OH 45069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bodalia, Krystina can be contacted via phone (513) 564-6800.

Contact Information

Primary practice address
6939 Cox Rd Ste 360 Liberty Township OH 45069
Phone: (513) 564-6800
Fax: (513) 564-6815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.134653 Ohio

Profile Details

NPI number 1417337007
LBN Legal business name Bodalia, Krystina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Oct 30th, 2020 - about 6 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 1417337007 NPPES
Kentucky MEDICAID 7100550300
Kentucky MEDICAID 0305000

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