Bodenheimer, Marc A.

Bodenheimer, Marc A. is an individual health care provider with primary practice located at 4528 Chapman Hwy , Knoxville TN 37920-4359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bodenheimer, Marc A. can be contacted via phone (865) 579-3920.

Contact Information

Primary practice address
4528 Chapman Hwy Knoxville TN 37920-4359
Phone: (865) 579-3920
Fax: (865) 579-3963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD28730 Tennessee

Profile Details

NPI number 1598747875
LBN Legal business name Bodenheimer, Marc A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598747875 NPPES
Tennessee MEDICAID 3839450

Popular Providers