Bodie, Marilyn

Bodie, Marilyn is an individual health care provider with primary practice located at 511 8Th St , Clarksville TN 37040-3093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bodie, Marilyn can be contacted via phone (931) 920-7200.

Contact Information

Primary practice address
511 8Th St Clarksville TN 37040-3093
Phone: (931) 920-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN 6123 Tennessee

Profile Details

NPI number 1053449132
LBN Legal business name Bodie, Marilyn
Credentials PHD.,APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 9th, 2007 - about 17 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 1053449132 NPPES
Tennessee Other 620718880001 CHAMPUS TRICARE
Tennessee Other 4017181 CHAMPUS TRICARE
Tennessee MEDICAID 3903973 CHAMPUS TRICARE
Tennessee Other 377032 CHAMPUS TRICARE

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