Bodor, Marko V

Bodor, Marko V is an individual health care provider with primary practice located at 3421 Villa Ln Suite 2B, Napa CA 94558-6402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bodor, Marko V can be contacted via phone (707) 255-5454.

Contact Information

Primary practice address
3421 Villa Ln Suite 2B Napa CA 94558-6402
Phone: (707) 255-5454
Fax: (707) 255-5411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G63297 California

Profile Details

NPI number 1588681191
LBN Legal business name Bodor, Marko V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 11th, 2012 - about 12 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 1588681191 NPPES
California MEDICAID 00G632970

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