Boden, John M

Boden, John M is an individual health care provider with primary practice located at 1000 W Moreno St , Pensacola FL 32501-2316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Boden, John M can be contacted via phone (850) 469-7406.

Contact Information

Primary practice address
1000 W Moreno St Pensacola FL 32501-2316
Phone: (850) 469-7406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME94719 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME94719 Florida

Profile Details

NPI number 1417937707
LBN Legal business name Boden, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 17th, 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 1417937707 NPPES
Florida MEDICAID 018335000
Florida MEDICAID 009912339
Florida MEDICAID 009912341
Florida MEDICAID 009912342
Florida Other D514
Florida Other 35016

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