Bodlak, Alice Rose

Bodlak, Alice Rose is an individual health care provider with primary practice located at 2191 Johnson Ave , San Luis Obispo CA 93401-4534. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Bodlak, Alice Rose can be contacted via phone (805) 781-1744.

Contact Information

Primary practice address
2191 Johnson Ave San Luis Obispo CA 93401-4534
Phone: (805) 781-1744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN484275 California

Profile Details

NPI number 1164603569
LBN Legal business name Bodlak, Alice Rose
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Nov 14th, 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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