Bodwell, Andrea

Bodwell, Andrea is an sole proprietor health care provider with primary practice located at 123 N Tyler Rd Ste 100 , Wichita KS 67212-3726. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Bodwell, Andrea can be contacted via phone (316) 640-9049.

Contact Information

Primary practice address
123 N Tyler Rd Ste 100 Wichita KS 67212-3726
Phone: (316) 640-9049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 11111 Kansas
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1861114654
LBN Legal business name Bodwell, Andrea
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2022
Last updated Jul 5th, 2024 - about last year

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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