Bodner, Donald R

Bodner, Donald R is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bodner, Donald R can be contacted via phone (216) 844-5661.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-5661
Fax: (216) 286-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35-044291 Ohio

Profile Details

NPI number 1578597175
LBN Legal business name Bodner, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 7th, 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 1578597175 NPPES
Ohio Other 000000025982 ANTHEM
Ohio Other 000000216802 ANTHEM
Ohio Other 639506 ANTHEM
Ohio Other 000000507513 ANTHEM
Ohio MEDICAID 0441963 ANTHEM
Ohio Other 363367 ANTHEM
Ohio Other P00364270 ANTHEM
Ohio Other 0639506 ANTHEM
Ohio Other 1900369 ANTHEM
Ohio Other 741846 ANTHEM

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