Bodmer, Edward James

Bodmer, Edward James is an sole proprietor health care provider with primary practice located at 9765 E Dead Sure Pl , Gold Canyon AZ 85218-7176. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bodmer, Edward James can be contacted via phone (480) 363-3066.

Contact Information

Primary practice address
9765 E Dead Sure Pl Gold Canyon AZ 85218-7176
Phone: (480) 363-3066
Fax: (480) 983-8153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0152 Arizona

Profile Details

NPI number 1801882006
LBN Legal business name Bodmer, Edward James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Apr 19th, 2018 - about 8 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 1801882006 NPPES
Arizona Other 118594 MEDICARE GROUP

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