Bodily, Martha Mogene

Bodily, Martha Mogene is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bodily, Martha Mogene can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 6992742-3101 Utah

Profile Details

NPI number 1679716385
LBN Legal business name Bodily, Martha Mogene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679716385 NPPES
Utah MEDICAID 876000308007
Utah Other 260022408

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