Provider Demographics
NPI:1083495998
Name:ROHMFELD, BODIN
Entity Type:Individual
Prefix:
First Name:BODIN
Middle Name:
Last Name:ROHMFELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 LONGWOOD CT APT D
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4039
Mailing Address - Country:US
Mailing Address - Phone:512-773-9580
Mailing Address - Fax:
Practice Address - Street 1:433 LONGWOOD CT APT D
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4039
Practice Address - Country:US
Practice Address - Phone:512-773-9580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula