JENNIFER ANN BODENSTEINER


Address: 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994
Phone: 5742894764

JENNIFER ANN BODENSTEINER (NPI# 1952455537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952455537
Entity Type Individual
Full Name JENNIFER ANN BODENSTEINER
Credential MS, ATC, LAT
Practice Address 111 W Jefferson Blvd
Suite 100
South Bend
IN 46601-1994
Mailing Address 1855 Altgeld St
South Bend
IN 46614-1603
Practice Telephone 5742894764
Enumeration Date 2007-01-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 36000645A IN Other Service Providers

Office Location

Street Address 111 W JEFFERSON BLVD
SUITE 100
City SOUTH BEND
State IN
Zip Code 46601-1994

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629075957 Linda A Mansfield Family Medicine 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 2005-07-01
1912521378 Andrew John Findley Physical Therapist 111 W Jefferson Blvd, South Bend, IN 46601-1994 2020-06-02
1346711652 Jennifer Cunningham Physical Therapist 111 W Jefferson Blvd, South Bend, IN 46601-1994 2018-12-13
1730677295 Katelyn Patberg Specialist/Technologist 111 W Jefferson Blvd, South Bend, IN 46601-1994 2018-04-30
1578722450 Paul Adam Enright Acupuncturist 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 2008-06-05
1275712085 Kara G Werner Specialist/Technologist 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 2007-10-29
1609063908 Praveen Putlur Physical Therapist 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 2007-10-01
1528277951 Freya L Burket Social Worker 111 W Jefferson Blvd, South Bend, IN 46601-1994 2007-05-22
1093726713 Jennifer A Brake Family Medicine 111 W Jefferson Blvd, Ste 100, South Bend, IN 46601-1994 2006-08-10
1578515151 Beacon Medical Group, Inc. Family Medicine 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871922799 Northern Indiana Orthopaedic Specialty Associates, PC Specialist 6301 University Commons Ste 420, South Bend, IN 46635-1416 2013-11-01
1962642306 Lisa James Specialist 60660 Gentle Run Ct, South Bend, IN 46614-5185 2009-02-25
1497928055 Amy Dennise Woodard Specialist 606 Robert Bush Drive, Suite 1, South Bend, WA 98586-0384 2008-04-03
1497842033 Worksport Rehabilitation Service Specialist 411 E Ireland Rd Ste 400, South Bend, IN 46614-2681 2006-10-06
1104834670 Renee L Hensley Specialist 411 E Ireland Rd, Ste 400, South Bend, IN 46614-2680 2006-08-03
1649225095 Allied Hematology Oncology Associates LLC Specialist 6319 State Road 23, South Bend, IN 46635-1475 2006-05-24
1528013372 Uthman Cavallo Specialist 53800 Generations Dr, South Bend, IN 46635 2006-05-23
1578547402 Ismail Al-ani Specialist 621 Memorial Drive, Suite512, South Bend, IN 46601-1074 2005-12-05
1003818212 John L Jenkins Specialist 621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 2005-06-01
1205473451 Integrative Care Partners LLC Specialist 211 N Eddy St, South Bend, IN 46617-2808 2019-12-06
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Competitor

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City SOUTH BEND
Zip Code 46601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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