Bodde, Jacob
Bodde, Jacob is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-9800. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bodde, Jacob can be contacted via phone (570) 808-2383.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-9800
Phone: (570) 808-2383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT231962 | Pennsylvania |
Profile Details
| NPI number | 1710731377 |
|---|---|
| LBN Legal business name | Bodde, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2024 |
| Last updated | May 30th, 2024 - 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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