Jackson, Bernice Boddie
Jackson, Bernice Boddie is an individual health care provider with primary practice located at 241 N. Figueroa St. , Los Angeles CA 90012-2601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Jackson, Bernice Boddie can be contacted via phone (213) 989-7168.Contact Information
Primary practice address
241 N. Figueroa St.
Los Angeles CA 90012-2601
Phone: (213) 989-7168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | G37001 | California |
Profile Details
| NPI number | 1003146168 |
|---|---|
| LBN Legal business name | Jackson, Bernice Boddie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2010 |
| Last updated | Jan 12th, 2010 - about 15 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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