Bodner, Bruce Ira
Bodner, Bruce Ira is an individual health care provider with primary practice located at 241 Corporate Blvd , Norfolk VA 23502-4954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bodner, Bruce Ira can be contacted via phone (757) 622-2200.Contact Information
Primary practice address
241 Corporate Blvd
Norfolk VA 23502-4954
Phone: (757) 622-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101021043 | Virginia |
Profile Details
| NPI number | 1356340830 |
|---|---|
| LBN Legal business name | Bodner, Bruce Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1356340830 | NPPES |
| Virginia | Other | 332516 | PIN/BCBS |
| Virginia | MEDICAID | 6384021 | PIN/BCBS |
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