Bodtke, Susan K

Bodtke, Susan K is an individual health care provider with primary practice located at 4311 3Rd Ave , San Diego CA 92103-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Bodtke, Susan K can be contacted via phone (619) 688-1600.

Contact Information

Primary practice address
4311 3Rd Ave San Diego CA 92103-1407
Phone: (619) 688-1600
Fax: (619) 688-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X G88460 California

Profile Details

NPI number 1871729962
LBN Legal business name Bodtke, Susan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Mar 1st, 2013 - 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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