National Provider Identifier Database

E JAMES BODMER DPM PC
Health Service


Contact Information

E. JAMES BODMER, D.P.M., PC
9765 E DEAD SURE PL
GOLD CANYON, AZ85218-7176
Phone: 480-363-3066
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for E. JAMES BODMER, D.P.M., PC

NPI Number 1245423219
Legal business name
LBN
E. JAMES BODMER, D.P.M., PC
Authorized official EDWARD BODMER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/23/2007
Last updated 08/23/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 0152
  • AZ Other: 0152 AZ LICENSE

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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