Bodziner, Richard Allan
Bodziner, Richard Allan is an individual health care provider with primary practice located at 6602 Waters Ave Building C, Savannah GA 31406-2778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bodziner, Richard Allan can be contacted via phone (912) 354-7676.Contact Information
Primary practice address
6602 Waters Ave Building C
Savannah GA 31406-2778
Phone: (912) 354-7676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 026224 | Georgia |
Profile Details
| NPI number | 1790755338 |
|---|---|
| LBN Legal business name | Bodziner, Richard Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790755338 | NPPES |
| Georgia | MEDICAID | 000287944E |
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