Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Bodde

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710731377

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

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 808-2383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT231962 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710731377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address100 N Academy Ave, Danville, PA 17822-9800

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