Bodnarik, Jackie Christine

Bodnarik, Jackie Christine is an individual health care provider with primary practice located at 317 Center St , Jacksonville NC 28546-6725. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bodnarik, Jackie Christine can be contacted via phone (910) 347-6009.

Contact Information

Primary practice address
317 Center St Jacksonville NC 28546-6725
Phone: (910) 347-6009
Fax: (910) 355-2267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1790812824
LBN Legal business name Bodnarik, Jackie Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790812824 NPPES
North Carolina MEDICAID 3418095
North Carolina MEDICAID 8301307

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