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
Fax: (563) 263-2691
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720046360 NPPES
Illinois Other 070-010146 ILLINOIS PT LICENSE NO.
Illinois Other 02209 ILLINOIS PT LICENSE NO.

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