Bodman, Marc G

Bodman, Marc G is an individual health care provider with primary practice located at 12731 New Brittany Blvd , Fort Myers FL 33907-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bodman, Marc G can be contacted via phone (239) 418-0999.

Contact Information

Primary practice address
12731 New Brittany Blvd Fort Myers FL 33907-3632
Phone: (239) 418-0999
Fax: (239) 418-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 046489 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.201176 Louisiana

Profile Details

NPI number 1376742957
LBN Legal business name Bodman, Marc G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jun 7th, 2010 - about 15 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 1376742957 NPPES
Mississippi MEDICAID 00601031
Mississippi MEDICAID 1508098

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