Bodtorf, Breanna Nichole
Bodtorf, Breanna Nichole is an sole proprietor health care provider with primary practice located at 106 Derry Heights Blvd , Lewistown PA 17044-8604. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bodtorf, Breanna Nichole can be contacted via phone (717) 248-9900.Contact Information
Primary practice address
106 Derry Heights Blvd
Lewistown PA 17044-8604
Phone: (717) 248-9900
Fax: (717) 248-9910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH073123 | Pennsylvania |
Profile Details
| NPI number | 1366944290 |
|---|---|
| LBN Legal business name | Bodtorf, Breanna Nichole |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2018 |
| Last updated | Jun 8th, 2021 - about 5 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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