Bodemann, Diane Kay

Bodemann, Diane Kay is an individual health care provider with primary practice located at 1662 Higdon Ferry Rd Suite 200, Hot Springs AR 71913-6912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bodemann, Diane Kay can be contacted via phone (501) 623-2781.

Contact Information

Primary practice address
1662 Higdon Ferry Rd Suite 200 Hot Springs AR 71913-6912
Phone: (501) 623-2781
Fax: (501) 623-1774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N7441 Arkansas

Profile Details

NPI number 1871556829
LBN Legal business name Bodemann, Diane Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 28th, 2016 - about 9 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 1871556829 NPPES
Arkansas MEDICAID 114598001

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