Bodenhausen, Gary E.

Bodenhausen, Gary E. is an individual health care provider with primary practice located at 104 No. 7 Highway Ste B, Blue Springs MO 64014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bodenhausen, Gary E. can be contacted via phone (816) 229-8880.

Contact Information

Primary practice address
104 No. 7 Highway Ste B Blue Springs MO 64014
Phone: (816) 229-8880
Fax: (816) 229-4363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MDR6442 Missouri

Profile Details

NPI number 1376536458
LBN Legal business name Bodenhausen, Gary E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 5th, 2011 - about 13 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 1376536458 NPPES
Missouri Other 06616078 BC/BS
Missouri Other 1023793 BC/BS

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