Bodeau, Geoffrey R

Bodeau, Geoffrey R is an individual health care provider with primary practice located at 6608 Kenney Pl , Edina MN 55439-1427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Bodeau, Geoffrey R can be contacted via phone (952) 947-9445.

Contact Information

Primary practice address
6608 Kenney Pl Edina MN 55439-1427
Phone: (952) 947-9445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 29842 Minnesota

Profile Details

NPI number 1770534372
LBN Legal business name Bodeau, Geoffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 19th, 2023 - about 2 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 1770534372 NPPES
Minnesota Other 4T045BO BLUE CROSS
Minnesota Other HP12925 BLUE CROSS
Minnesota Other 108789 BLUE CROSS
Minnesota MEDICAID 0533448 BLUE CROSS
Minnesota Other 300046433 BLUE CROSS
Minnesota Other 22825 BLUE CROSS
Minnesota MEDICAID 32385300 BLUE CROSS
Minnesota Other 47Q34BO BLUE CROSS
Minnesota Other P00126385 BLUE CROSS
Minnesota Other 232903 BLUE CROSS
Minnesota MEDICAID 794265600 BLUE CROSS
Minnesota Other 1006999 BLUE CROSS
Minnesota Other 9253416 BLUE CROSS

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