Dr. Carl Jay Bodenstein
MD | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Carl Jay Bodenstein, MD is a Spokane, Washington based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Carl Jay Bodenstein is
105 W 8th Ave, Ste 336c, Spokane, Washington - 99204-2302. He can be contacted on phone at
509-455-8855 and fax number 509-455-8383.
Dr. Carl Jay Bodenstein is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Carl Jay Bodenstein is
1811960156 which was assigned by NPPES on 08 Feb, 2006 and it was last updated on 21 Dec, 2009.
Dr. Carl Jay Bodenstein license number is
MD00020651 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Washington.
Dr. Carl Jay Bodenstein is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Carl Jay Bodenstein basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Dr. Carl Jay Bodenstein |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Carl Jay Bodenstein address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 105 W 8th Ave, Ste 336c
Spokane, WA, 99204-2302
United States |
|---|
| Phone Number : | 509-455-8855 |
|---|
| Fax Number : | 509-455-8383 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811960156 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Feb, 2006 |
|---|
| Last Updated On : | 21 Dec, 2009 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carl Jay Bodenstein are as mentioned. Primary taxonomy code for Dr. Carl Jay Bodenstein, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD00020651 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carl Jay Bodenstein such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 911922781 | Other | WA | PHCO |
| 911922781 | Other | WA | UNITED HEALTH CARE |
| 205997 | MEDICAID | OR | |
| 10004603 | Other | WA | REGENCE BLUE S. OF IDAHO |
| 0000108137 | MEDICAID | MT | |
| 911922781 | Other | WA | GROUP HEALTH NW |
| 000038801 | MEDICAID | ID | |
| KA345 | Other | WA | BLUE CROSS OF IDAHO |
| 8458507 | MEDICAID | WA | |
| 911922781 | MEDICAID | WA | |
| 911922781 | Other | WA | PREMERA |
| 911922781 | Other | WA | CIGNA |
| 5404342 | Other | WA | AETNA |
| BO6528 | Other | WA | ASURIS NW HEALTH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 105 W 8th Ave, Ste 336c
Spokane, WA, 99204-2302
United States |
|---|
| Phone Number : | 509-455-8855 |
|---|
| Fax Number : | 509-455-8383 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Carl Jay Bodenstein practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.