Bodenstein, Carl Jay

Bodenstein, Carl Jay is an individual health care provider with primary practice located at 105 W 8Th Ave Ste 336C, Spokane WA 99204-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bodenstein, Carl Jay can be contacted via phone (509) 455-8855.

Contact Information

Primary practice address
105 W 8Th Ave Ste 336C Spokane WA 99204-2302
Phone: (509) 455-8855
Fax: (509) 455-8383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD00020651 Washington

Profile Details

NPI number 1811960156
LBN Legal business name Bodenstein, Carl Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Dec 21st, 2009 - about 15 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 1811960156 NPPES
Washington Other 10004603 REGENCE BLUE S. OF IDAHO
Washington Other 911922781 REGENCE BLUE S. OF IDAHO
Washington Other 911922781 REGENCE BLUE S. OF IDAHO
Washington Other BO6528 REGENCE BLUE S. OF IDAHO
Washington Other 911922781 REGENCE BLUE S. OF IDAHO
Washington MEDICAID 911922781 REGENCE BLUE S. OF IDAHO
Washington MEDICAID 8458507 REGENCE BLUE S. OF IDAHO
Washington Other KA345 REGENCE BLUE S. OF IDAHO
Washington MEDICAID 000038801 REGENCE BLUE S. OF IDAHO
Washington MEDICAID 205997 REGENCE BLUE S. OF IDAHO
Washington MEDICAID 0000108137 REGENCE BLUE S. OF IDAHO
Washington Other 5404342 REGENCE BLUE S. OF IDAHO
Washington Other 911922781 REGENCE BLUE S. OF IDAHO
Washington Other 911922781 REGENCE BLUE S. OF IDAHO

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