Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL BROWN BODHISE, DC
Active Sole ProprietorDR. PAUL BROWN BODHISE, DC is a Nutrition (Chiropractor) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1245341130 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1245341130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.974115687233 yrs)
- Last Updated
- Jul 9, 2007
- License
-
DC003210L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 S 11TH STPHILADELPHIA, PA, 191471901Browse PA providers · Browse ZIP 19147
- Phone
- 2155920882
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.