Bodjanac, Stephen M

Bodjanac, Stephen M is an individual health care provider with primary practice located at 4125 Medina Rd Suite 215, Akron OH 44333-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bodjanac, Stephen M can be contacted via phone (330) 665-8143.

Contact Information

Primary practice address
4125 Medina Rd Suite 215 Akron OH 44333-2483
Phone: (330) 665-8143
Fax: (330) 665-1289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006963 Ohio

Profile Details

NPI number 1417917725
LBN Legal business name Bodjanac, Stephen M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 1st, 2011 - about 14 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 1417917725 NPPES
Ohio Other 2551671 MEDICAID GROUP #
Ohio Other 1841239274 MEDICAID GROUP #
Ohio Other 9338635 MEDICAID GROUP #
Ohio Other 1023301025 MEDICAID GROUP #
Ohio MEDICAID 2127657 MEDICAID GROUP #
Ohio Other P00469259 MEDICAID GROUP #

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