Bodman, Carol Ann
Bodman, Carol Ann is an individual health care provider with primary practice located at 1425 Patrician Dr , Lake Havasu City AZ 86404-1917. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Bodman, Carol Ann can be contacted via phone (928) 505-6911.Contact Information
Primary practice address
1425 Patrician Dr
Lake Havasu City AZ 86404-1917
Phone: (928) 505-6911
Fax: (928) 505-6991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN086484 | Arizona |
Profile Details
| NPI number | 1760689517 |
|---|---|
| LBN Legal business name | Bodman, Carol Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760689517 | NPPES |
| Arizona | MEDICAID | 566119 |
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