Bodensteiner, Sally
Bodensteiner, Sally is an individual health care provider with primary practice located at 406 N 1St St , Vincennes IN 47591-1340. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bodensteiner, Sally can be contacted via phone (812) 882-1106.Contact Information
Primary practice address
406 N 1St St
Vincennes IN 47591-1340
Phone: (812) 882-1106
Fax: (812) 885-2758
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01074304A | Indiana |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD2008-0602 | New Mexico |
Profile Details
NPI number | 1851580823 |
---|---|
LBN Legal business name | Bodensteiner, Sally |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2007 |
Last updated | May 21st, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851580823 | NPPES |
Indiana | Other | 01074304A | INDIANA LICENSE |
Indiana | MEDICAID | 201260890 | INDIANA LICENSE |
Indiana | Other | 000000898810 | INDIANA LICENSE |
Indiana | Other | 258190 | INDIANA LICENSE |
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