Bodenstine, Thomas Robert

Bodenstine, Thomas Robert is an individual health care provider with primary practice located at 1321 Oberlin Rd A, Raleigh NC 27608-2052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bodenstine, Thomas Robert can be contacted via phone (919) 828-4747.

Contact Information

Primary practice address
1321 Oberlin Rd A Raleigh NC 27608-2052
Phone: (919) 828-4747
Fax: (919) 828-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1659345197
LBN Legal business name Bodenstine, Thomas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1659345197 NPPES
North Carolina MEDICAID 89126XW

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