WILLIAM BODINE, PA-C, Medical LAFAYETTE, IN

Contact Information

WILLIAM BODINE, PA-C

1701 S CREASY LN
LAFAYETTE, IN 47905-4972

Phone: 765-502-4000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for WILLIAM BODINE · (Male)

NPI Number	`1114332459`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	06/25/2014
Last updated	06/28/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	IN License # 10001661A
Hospital affiliation(s)	Not Available

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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