Bodin, Mark

Bodin, Mark is an individual health care provider with primary practice located at 1004 N Walnut St , Milford DE 19963-1244. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bodin, Mark can be contacted via phone (302) 422-6670.

Contact Information

Primary practice address
1004 N Walnut St Milford DE 19963-1244
Phone: (302) 422-6670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J10001805 Delaware

Profile Details

NPI number 1558389759
LBN Legal business name Bodin, Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 22nd, 2013 - about 12 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 1558389759 NPPES
Delaware MEDICAID 1558389759
Delaware Other 5070-0094
Delaware Other 3502360000
Delaware Other 64332706

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