Bodger, Darcy
Bodger, Darcy is an sole proprietor health care provider with primary practice located at 15807 Lake Street Ext , Minnetonka MN 55345-1922. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bodger, Darcy can be contacted via phone (952) 938-5015.Contact Information
Primary practice address
15807 Lake Street Ext
Minnetonka MN 55345-1922
Phone: (952) 938-5015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 100009 | Minnesota |
Profile Details
| NPI number | 1689917528 |
|---|---|
| LBN Legal business name | Bodger, Darcy |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2013 |
| Last updated | Mar 28th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689917528 | NPPES |
| Minnesota | Other | 100009 | MN LICENSE |
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