Bodam, Reece Arthur

Bodam, Reece Arthur is an individual health care provider with primary practice located at 211 W Main St , Emmett ID 83617-2937. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Bodam, Reece Arthur can be contacted via phone (208) 369-4307.

Contact Information

Primary practice address
211 W Main St Emmett ID 83617-2937
Fax: (208) 369-4503
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3160 Idaho

Profile Details

NPI number 1710523220
LBN Legal business name Bodam, Reece Arthur
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Aug 6th, 2020 - about 5 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 1710523220 NPPES
Idaho Other HA3160 STATE LICENSE

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