Bodart, Jennifer Jean

Bodart, Jennifer Jean is an individual health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Bodart, Jennifer Jean can be contacted via phone (570) 230-6864.

Contact Information

Primary practice address
1060 W Perimeter Rd Jb Andrews MD 20762-6602
Phone: (570) 230-6864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 2443-57 Wisconsin
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2443-53 Wisconsin

Profile Details

NPI number 1851471999
LBN Legal business name Bodart, Jennifer Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated May 1st, 2024 - about 2 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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