Bodeacrisan, Tiberiu F

Bodeacrisan, Tiberiu F is an individual health care provider with primary practice located at 3811 Ohara St Suite 1135-E, Pittsburgh PA 15213-2593. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Bodeacrisan, Tiberiu F can be contacted via phone (412) 624-1000.

Contact Information

Primary practice address
3811 Ohara St Suite 1135-E Pittsburgh PA 15213-2593
Phone: (412) 624-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD420275 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD420275 Pennsylvania

Profile Details

NPI number 1699747758
LBN Legal business name Bodeacrisan, Tiberiu F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 20th, 2013 - about 11 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 1699747758 NPPES
Pennsylvania MEDICAID 101055820

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