Bodine, Thomas Patrick

Bodine, Thomas Patrick is an sole proprietor health care provider with primary practice located at 3955 Parklawn Ave Ste 120, Edina MN 55435-5655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bodine, Thomas Patrick can be contacted via phone (952) 831-1944.

Contact Information

Primary practice address
3955 Parklawn Ave Ste 120 Edina MN 55435-5655
Phone: (952) 831-1944
Fax: (952) 278-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47175 Minnesota

Profile Details

NPI number 1295848000
LBN Legal business name Bodine, Thomas Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1295848000 NPPES
Minnesota Other 1203332 MEDICA
Minnesota Other 97M84BO MEDICA
Minnesota Other FP9021044405 MEDICA

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