Bodine, Kenneth Paul

Bodine, Kenneth Paul is an individual health care provider with primary practice located at 2801 C Ct , Ashtabula OH 44004-4577. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bodine, Kenneth Paul can be contacted via phone (440) 998-0722.

Contact Information

Primary practice address
2801 C Ct Ashtabula OH 44004-4577
Phone: (440) 998-0722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1417682790
LBN Legal business name Bodine, Kenneth Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2022
Last updated Jul 20th, 2022 - about 3 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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