Bodine, Gregory

Bodine, Gregory is an individual health care provider with primary practice located at 49 Myrtle St , Melrose MA 02176-3850. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bodine, Gregory can be contacted via phone (617) 297-9795.

Contact Information

Primary practice address
49 Myrtle St Melrose MA 02176-3850
Phone: (617) 297-9795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122370 Massachusetts

Profile Details

NPI number 1295280394
LBN Legal business name Bodine, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2016
Last updated Apr 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295280394 NPPES
Massachusetts MEDICAID 110157695A

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