Bodenheimer, Henry Charles

Bodenheimer, Henry Charles is an individual health care provider with primary practice located at 10 Union Sq E Ste 2G, Dept Of Gastroenterology, New York NY 10003-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bodenheimer, Henry Charles can be contacted via phone (212) 420-4015.

Contact Information

Primary practice address
10 Union Sq E Ste 2G, Dept Of Gastroenterology New York NY 10003-3314
Phone: (212) 420-4015
Fax: (212) 844-5548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 128274-1 New York

Profile Details

NPI number 1063497295
LBN Legal business name Bodenheimer, Henry Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 21st, 2013 - about 12 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 1063497295 NPPES
New York MEDICAID 01284564

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