Bodkin, John J

Bodkin, John J is an individual health care provider with primary practice located at 5667 Creekwood Ct E , East Amherst NY 14051-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bodkin, John J can be contacted via phone (716) 689-1864.

Contact Information

Primary practice address
5667 Creekwood Ct E East Amherst NY 14051-2369
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 131001 New York

Profile Details

NPI number 1609831536
LBN Legal business name Bodkin, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 23rd, 2023 - about last year

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 1609831536 NPPES
New York MEDICAID 00637274

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