Bodjanac, Walter

Bodjanac, Walter is an individual health care provider with primary practice located at 6316 W Union Hills Dr Ste 200 , Glendale AZ 85308-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Bodjanac, Walter can be contacted via phone (480) 905-8485.

Contact Information

Primary practice address
6316 W Union Hills Dr Ste 200 Glendale AZ 85308-1001
Phone: (480) 905-8485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34-00-5512-B Ohio
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 34-00-5512-B Ohio

Profile Details

NPI number 1376525188
LBN Legal business name Bodjanac, Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 28th, 2024 - about 5 months 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 1376525188 NPPES
Ohio Other 5489782 AETNA MGD CHOICE
Ohio Other 2171126 AETNA MGD CHOICE
Ohio Other 000000141877 AETNA MGD CHOICE
Ohio MEDICAID 0161355 AETNA MGD CHOICE
Ohio Other 91970 AETNA MGD CHOICE
Ohio Other 1143537003 AETNA MGD CHOICE

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