JOHNATHAN CHRISTIAN BODJACK BA
NPI 1528494762
Technician, Other in Portage, MI

Active since September 19, 2013
9616 PORTAGE RD, PORTAGE, MI 49002(269) 250-8200 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnathan Christian Bodjack Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHAN CHRISTIAN BODJACK BA (NPI 1528494762) is an individual technician, other provider in Portage, Michigan and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1528494762
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameJOHNATHAN CHRISTIAN BODJACKCredential: BA
Location Address9616 PORTAGE RDPortage, MI 49002-7257
Mailing Address9616 Portage RdPortage, MI 49002-7257 · (269) 250-8200
Sole ProprietorNo
Enumeration DateSeptember 19, 2013
NPI 1528494762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
9616 PORTAGE RD, Portage, MI 49002

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
9616 PORTAGE RD
PORTAGE, MI 49002
Behavior Technician
9616 PORTAGE RD
PORTAGE, MI 49002
Behavior Analyst
9616 PORTAGE RD
PORTAGE, MI 49002
Behavior Technician
9616 PORTAGE RD
PORTAGE, MI 49002
Specialist
9616 PORTAGE RD
PORTAGE, MI 49002
Behavior Technician
9616 PORTAGE RD
PORTAGE, MI 49002
Behavior Analyst
9616 PORTAGE RD
PORTAGE, MI 49002
Specialist
9616 PORTAGE RD
PORTAGE, MI 49002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Bodjack's NPI number?

The NPI number for Johnathan Bodjack is 1528494762. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Johnathan Bodjack located?

Johnathan Bodjack practices at 9616 Portage Rd, Portage, MI 49002. The listed phone number is (269) 250-8200.

What is Johnathan Bodjack's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Johnathan Bodjack was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.