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Contact Information

JOHN BODKIN III, DO
3200 MACCORKLE AVE SE
CHARLESTON, WV25304-1227
 Phone: 304-388-4170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN BODKIN III · (Male)

NPI # 1467430249
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/03/2006
Last updated 12/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # DO3973
  • WV License # 1975
  • WV Medicaid 1810622000
  • WV Other 001416470 WV BCBS
  • WV Other 001716470 WV BCBS
  • WV Other 1063701 WV DWC
Hospital affiliation(s)
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
  • GREENFIELD AREA MEDICAL CENTER - (Critical Access)
    550 MIRABEAU STREET
    GREENFIELD, OH 45123
  • MADISON COUNTY HOSPITAL INC - (Acute Care)
    210 NORTH MAIN STREET
    LONDON, OH 43140
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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