Bodnar, John A

Bodnar, John A is an individual health care provider with primary practice located at 250 Prospect Pl , Coronado CA 92118-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bodnar, John A can be contacted via phone (619) 522-3722.

Contact Information

Primary practice address
250 Prospect Pl Coronado CA 92118-1943
Phone: (619) 522-3722
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A052145 California

Profile Details

NPI number 1912909938
LBN Legal business name Bodnar, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 4th, 2011 - about 15 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 1912909938 NPPES
California MEDICAID 00A521450

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