Bodkin, Melisa C

Bodkin, Melisa C is an individual health care provider with primary practice located at 441 E 8Th St , Lima OH 45804-2482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bodkin, Melisa C can be contacted via phone (419) 221-3072.

Contact Information

Primary practice address
441 E 8Th St Lima OH 45804-2482
Phone: (419) 221-3072
Fax: (419) 225-8878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-06953 Ohio

Profile Details

NPI number 1912986969
LBN Legal business name Bodkin, Melisa C
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 13th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912986969 NPPES
Ohio Other 000000549037 ANTHEM BCBS
Ohio MEDICAID 2375728 ANTHEM BCBS

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