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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 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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