Bodker, John R

Bodker, John R is an sole proprietor health care provider with primary practice located at 2830 N 3Rd St , Phoenix AZ 85004-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Bodker, John R can be contacted via phone (602) 274-1919.

Contact Information

Primary practice address
2830 N 3Rd St Phoenix AZ 85004-1042
Phone: (602) 274-1919
Fax: (602) 274-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 13615 Arizona

Profile Details

NPI number 1457319642
LBN Legal business name Bodker, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Apr 4th, 2015 - about 10 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 1457319642 NPPES
Arizona Other AZ0324990 BCBS
Arizona Other 245789 BCBS
Arizona Other 1Z7049 BCBS

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