Bodkin, Stephan
Bodkin, Stephan is an sole proprietor health care provider with primary practice located at 210 Emmet St S , Charlottesville VA 22903-2455. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bodkin, Stephan can be contacted via phone (434) 924-6184.Contact Information
Primary practice address
210 Emmet St S
Charlottesville VA 22903-2455
Phone: (434) 924-6184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126002357 | Virginia |
Profile Details
| NPI number | 1164935763 |
|---|---|
| LBN Legal business name | Bodkin, Stephan |
| Credentials | MED, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2017 |
| Last updated | Nov 6th, 2017 - about 9 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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