Bodeau, Donald T

Bodeau, Donald T is an individual health care provider with primary practice located at 210 9Th St Se , Rochester MN 55904-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Bodeau, Donald T can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
210 9Th St Se Rochester MN 55904-6756
Phone: (507) 288-3443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 32556 Wisconsin
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 31662 Minnesota

Profile Details

NPI number 1396717567
LBN Legal business name Bodeau, Donald T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 30th, 2018 - about 6 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 1396717567 NPPES
Wisconsin MEDICAID 31726700

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