Bodtker, Erik R

Bodtker, Erik R is an individual health care provider with primary practice located at 915 Highland Blvd , Bozeman MT 59715-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bodtker, Erik R can be contacted via phone (800) 461-3981.

Contact Information

Primary practice address
915 Highland Blvd Bozeman MT 59715-6902
Fax: (801) 733-5872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8414 Montana

Profile Details

NPI number 1225054695
LBN Legal business name Bodtker, Erik R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Apr 27th, 2017 - 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 1225054695 NPPES
Arizona MEDICAID 071292
Arizona Other P01790452
Arizona Other 134310888
Arizona MEDICAID 0148772
Arizona Other 1343108880000
Arizona MEDICAID 67432514
Arizona Other 000091916
Arizona MEDICAID 1225054695

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