Bodwin, Jeffrey

Bodwin, Jeffrey is an individual health care provider with primary practice located at 100 E Valencia Mesa Dr Suite 105, Fullerton CA 92835-3813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bodwin, Jeffrey can be contacted via phone (714) 446-5640.

Contact Information

Primary practice address
100 E Valencia Mesa Dr Suite 105 Fullerton CA 92835-3813
Phone: (714) 446-5640
Fax: (714) 446-5625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G46166 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G46166 California

Profile Details

NPI number 1932195476
LBN Legal business name Bodwin, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 26th, 2013 - about 11 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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