Bodge, Sherry M
Bodge, Sherry M is an individual health care provider with primary practice located at 12 Stillwater Ave , Bangor ME 04401-3984. She recently has only one registered license in Dental Providers / Denturist, which is considered as her primary health care specialty. Bodge, Sherry M can be contacted via phone (207) 941-6550.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 5054 | Maine |
Profile Details
| NPI number | 1003041609 |
|---|---|
| LBN Legal business name | Bodge, Sherry M |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2009 |
| Last updated | May 27th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003041609 | NPPES |
| Maine | MEDICAID | 432235099 |
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