Bodine, Susanne

Bodine, Susanne is an individual health care provider with primary practice located at 1500 James Simpson Jr Way 301, Covington KY 41011-0801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bodine, Susanne can be contacted via phone (859) 655-8910.

Contact Information

Primary practice address
1500 James Simpson Jr Way 301 Covington KY 41011-0801
Phone: (859) 655-8910
Fax: (859) 655-8911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3007630 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007630 Kentucky

Profile Details

NPI number 1538417399
LBN Legal business name Bodine, Susanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Sep 18th, 2018 - about 6 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 1538417399 NPPES
Kentucky MEDICAID 7100210530
Kentucky MEDICAID 0072233

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