Bodell, Peggy

Bodell, Peggy is an individual health care provider with primary practice located at 10467 93Rd Ave N , Maple Grove MN 55369-4112. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bodell, Peggy can be contacted via phone (651) 488-4655.

Contact Information

Primary practice address
10467 93Rd Ave N Maple Grove MN 55369-4112
Phone: (651) 488-4655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1435289 Minnesota

Profile Details

NPI number 1841923893
LBN Legal business name Bodell, Peggy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Jul 7th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841923893 NPPES
Minnesota MEDICAID 1144260589

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