Bodman, Michael James

Bodman, Michael James is an individual health care provider with primary practice located at 21245 Lorain Rd Suite 115, Fairview Park OH 44126-2146. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bodman, Michael James can be contacted via phone (440) 356-1989.

Contact Information

Primary practice address
21245 Lorain Rd Suite 115 Fairview Park OH 44126-2146
Phone: (440) 356-1989
Fax: (440) 356-5944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 36003254 Ohio

Profile Details

NPI number 1386615144
LBN Legal business name Bodman, Michael James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jun 17th, 2020 - about 4 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 1386615144 NPPES
Ohio Other 341944827 AETNA
Ohio Other 480033770 AETNA
Ohio Other 000000210952 AETNA
Ohio MEDICAID 2250184 AETNA

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