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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457319642 | NPPES |
Arizona | Other | AZ0324990 | BCBS |
Arizona | Other | 245789 | BCBS |
Arizona | Other | 1Z7049 | BCBS |
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