Bodine, Jonathan A

Bodine, Jonathan A is an individual health care provider with primary practice located at 401 S Alabama St Ste 3B, Butte MT 59701-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bodine, Jonathan A can be contacted via phone (406) 723-4312.

Contact Information

Primary practice address
401 S Alabama St Ste 3B Butte MT 59701-2315
Phone: (406) 723-4312
Fax: (406) 723-4316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10364 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-1460 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP60662799 Washington

Profile Details

NPI number 1760434740
LBN Legal business name Bodine, Jonathan A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 23rd, 2023 - about 3 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 1760434740 NPPES
Montana MEDICAID 0153179

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