Bodkin, John

Bodkin, John is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bodkin, John can be contacted via phone (304) 388-4170.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Charleston WV 25304-1227
Phone: (304) 388-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1975 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO3973 Maine

Profile Details

NPI number 1467430249
LBN Legal business name Bodkin, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Dec 19th, 2024 - 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 1467430249 NPPES
West Virginia Other 001416470 WV BCBS
West Virginia Other 1063701 WV BCBS
West Virginia Other 001716470 WV BCBS
West Virginia MEDICAID 1810622000 WV BCBS

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