Bode, Dawn M

Bode, Dawn M is an individual health care provider with primary practice located at 3900 28Th Avenue Dr Suite 200, Moline IL 61265-5536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bode, Dawn M can be contacted via phone (309) 281-6000.

Contact Information

Primary practice address
3900 28Th Avenue Dr Suite 200 Moline IL 61265-5536
Phone: (309) 281-6000
Fax: (309) 281-6009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-0099085 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036099085 Illinois

Profile Details

NPI number 1619972999
LBN Legal business name Bode, Dawn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 21st, 2021 - about 3 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 1619972999 NPPES
Other IL01E8 JOHN DEERE HEALTH PLAN
Other 4796890019 JOHN DEERE HEALTH PLAN
Other 91332 JOHN DEERE HEALTH PLAN
Other 20206 JOHN DEERE HEALTH PLAN
MEDICAID 036099085 JOHN DEERE HEALTH PLAN
Other 048510 JOHN DEERE HEALTH PLAN

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