Bodine, Johanna Congleton

Bodine, Johanna Congleton is an sole proprietor health care provider with primary practice located at 411 N Washington Ave Ste 2700 , Dallas TX 75246-1735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bodine, Johanna Congleton can be contacted via phone (214) 975-3937.

Contact Information

Primary practice address
411 N Washington Ave Ste 2700 Dallas TX 75246-1735
Phone: (214) 975-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM1795 Texas

Profile Details

NPI number 1184046096
LBN Legal business name Bodine, Johanna Congleton
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2014
Last updated Mar 7th, 2023 - 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 1184046096 NPPES
Texas MEDICAID 345080101
Texas Other AP124942
Texas Other 15228
Texas Other 744687

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