MEDICARE: DAVID A. BODI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2622	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC4229	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053596254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID A. BODI

Provider Business Mailing Address
First Line	:	1501 MILAN RD STE 4
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4143
Country	:	US
Telephone Number	:	419-625-4990
Fax Number	:	419-625-4950

Provider Business Practice Location Address
First Line	:	1501 MILAN RD STE 4
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4143
Country	:	US
Telephone Number	:	419-625-4990
Fax Number	:	419-625-4950

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID A. BODI
Credential	:	DC
Telephone Number	:	419-625-4990

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	01/21/2009

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Directions to “DAVID A. BODI ” Practice Location

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