Bodart, Derek

Bodart, Derek is an sole proprietor health care provider with primary practice located at 6525 Sunplex Dr , Ocean Springs MS 39564-8704. He recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as his primary health care specialty. Bodart, Derek can be contacted via phone (813) 928-5743.

Contact Information

Primary practice address
6525 Sunplex Dr Ocean Springs MS 39564-8704
Phone: (813) 928-5743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1609515097
LBN Legal business name Bodart, Derek
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2022
Last updated Jun 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers