Bodden, Jacqueline

Bodden, Jacqueline is an sole proprietor health care provider with primary practice located at 1874 Pelham Pkwy S Apt 6N , Bronx NY 10461-3750. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Bodden, Jacqueline can be contacted via phone (917) 517-2629.

Contact Information

Primary practice address
1874 Pelham Pkwy S Apt 6N Bronx NY 10461-3750
Phone: (917) 517-2629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 561048051 New York

Profile Details

NPI number 1043575202
LBN Legal business name Bodden, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2012
Last updated Jul 12th, 2012 - about 14 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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