Jacob Bodde
Jacob Bodde is a Student in an Organized Health Care Education/Training Program in Danville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.
- Licensed in
- PA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
Danville, PANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MT231962 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1710731377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | May 30, 2024 |
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