Bode, Laura Jean

Bode, Laura Jean is an sole proprietor health care provider with primary practice located at 4921 Park View Place , St Louis MO 63110. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiation Therapy, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Radiation Therapy is her primary health care specialty. Bode, Laura Jean can be contacted via phone (618) 210-1179.

Contact Information

Primary practice address
4921 Park View Place St Louis MO 63110
Phone: (618) 210-1179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiation Therapy 2471R0002X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1548441652
LBN Legal business name Bode, Laura Jean
Credentials RT(T),CMD,B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 17 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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