Bode, Craig N
Bode, Craig N is an individual health care provider with primary practice located at 3605 University Dr Ste 2 , Muscatine IA 52761-9607. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bode, Craig N can be contacted via phone (563) 263-2639.Contact Information
Primary practice address
3605 University Dr Ste 2
Muscatine IA 52761-9607
Phone: (563) 263-2639
Fax: (563) 263-2691
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 02209 | Iowa |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-010146 | Illinois |
Profile Details
NPI number | 1720046360 |
---|---|
LBN Legal business name | Bode, Craig N |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Apr 11th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720046360 | NPPES |
Illinois | Other | 070-010146 | ILLINOIS PT LICENSE NO. |
Illinois | Other | 02209 | ILLINOIS PT LICENSE NO. |
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